Emily Anderson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004318 Issued in CO

Practice address

1701 W 72ND Ave
Denver, CO 80221-2721

Phone

(303) 650-4460

Fax

(720) 565-4128

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Rachel Greene Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083

  CO

  Medicare reassignment Care Compare group NPD (past)
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  Care Compare group NPD
• Clinica Campesina Family Health Services

  • Clinic/Center
  • Lafayette, CO
  • NPI 1225025406

  CO

  Medicare reassignment
• Intermountain Medical Group Denver, LLC

  • Foot & Ankle Surgery Podiatrist
  • Thornton, CO
  • NPI 1730533902
  Care Compare group
• Intermountain Medical Group Denver, LLC

  • General Practice Physician
  • Billings, MT
  • NPI 1669192134
  Care Compare group
• Clinica Campesina Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Thornton, CO
  • NPI 1093702177
  NPD
• Clinica Campesina Family Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558109223
  NPD
• Intermountain Medical Group Denver, LLC

  • Surgery Physician
  • Lafayette, CO
  • NPI 1417560574
  NPD

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Group Denver LLC 571 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1376928812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 203",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 72ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212721",
            "telephone_number": "303-650-4460",
            "fax_number": "720-565-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.greene.p4@direct.clinicafamilyhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1701 W 72nd Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802212721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "GREENE",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christa K Anderson, RN
• Cole Anderson, DDS
• Craig Edward Anderson, CRNA
• Craig S Anderson, MD
• Elisabeth Anderson
• Emily Victoria Anderson, LMT
• Evie Anderson, DDS
• Ginny Baker Anderson, DDS
• Hannah Tautz Anderson, AU.D.
• Heather Nicole Anderson, CAT

• All providers in Denver, CO
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.