Individual provider Active NPI

Kelsey Pogatetz

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1386387504
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008055 Issued in CO
Practice address
4660 Yosemite St Ste 200
Denver, CO 80238-4483
Phone
(303) 860-5244
Fax
(720) 925-5897
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008055 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4660 Yosemite St Ste 200
Denver, CO 80238-4483

Mailing address

5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599

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
I20231101001139 CO Practitioner - Physician Assistant 2860848538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain SpecialistsGroup PAC ID 7911255013, 53 clinicians

Practice addresses (Care Compare)

15901 E Briarwood Cir
Unit 150
Aurora, CO 80016-1787
Phone (303) 645-4363

63 N Quebec St
Suite 300
Denver, CO 80230-7358
Phone (720) 749-5599

789 N Sherman St
Suite 315
Denver, CO 80203-3529
Phone (720) 749-5599

Merit-based Incentive Payment System (MIPS)

Final score
30.58 of 100Reported as group
Quality
9.59
Promoting interoperability
0
Improvement activities
0
Cost
68.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0008055COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Pain Specialists CurrentSince Oct 4, 2023 Accepting new patients

Locations

15901 E Briarwood Cir
Unit 150
Aurora, CO 80016
Phone (303) 645-4363

4660 Yosemite St
Ste 200
Denver, CO 80238
Phone (303) 860-5244

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111

Interoperability endpoints

  • Direct secure messaging: kelsey.pogatetz@3675.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1386387504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599",
            "fax_number": "720-925-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 YOSEMITE ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802384483",
            "telephone_number": "303-860-5244",
            "fax_number": "720-925-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGATETZ",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008055",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.