Individual provider Active NPI

Eric Becker, PA-C

  • Physician Assistant
  • Sterling, CO
National Provider Identifier
1376875138
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004611 Issued in CO
Practice address
615 Fairhurst St
Sterling, CO 80751-4523
Phone
(970) 522-0122
NPI assigned
Feb 4, 2010
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11506 MN
Physician Assistant 363A00000X PA1200 ME
Physician Assistant 363A00000X PA.0004611 CO Primary

Addresses

Primary practice location

615 Fairhurst St
Sterling, CO 80751-4523

Mailing address

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122

Other practice location 1

1995 E. Platte Ave
Fort Morgan, CO 80701
Phone (970) 427-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190705000046 CO Practitioner - Physician Assistant 7810022688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004611COMDPhysician Assistant
11506MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Solutions Glendale, P.C. CurrentSince Jun 1, 2019 Accepting new patients
Sterling Regional Medcenter CurrentSince May 1, 2020 Accepting new patients
Horizons Health Services Past Accepting new patients
MH Health Care Services, PC PastSince May 21, 2023 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Interoperability endpoints

  • Direct secure messaging: eric.becker.1@14940.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1376875138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514523",
            "telephone_number": "970-522-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514523",
            "telephone_number": "970-522-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 E. Platte Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "80701",
            "country_code": "US",
            "telephone_number": "970-427-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1200",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.