Individual provider Active NPI

Laurel Marie Nankey, P A

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1386693802
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1067 Issued in CO
Practice address
10120 E Dry Creek Rd Ste 101
Englewood, CO 80112-2772
Phone
(720) 738-1122
Fax
(720) 738-1139
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1067 CO Primary

Addresses

Primary practice location

10120 E Dry Creek Rd Ste 101
Englewood, CO 80112-2772

Mailing address

1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277

Other practice location 1

8300 W 38th Ave
Wheat Ridge, CO 80033-6005
Phone (303) 425-2525

Other identifiers 1

IdentifierTypeStateIssuer
65876750MedicaidCO

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
I20060301000512 CO Practitioner - Physician Assistant 6507872454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1067COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc CurrentSince Sep 1, 2008 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Sep 23, 2021 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1386693802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 E DRY CREEK RD STE 101",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122772",
            "telephone_number": "720-738-1122",
            "fax_number": "720-738-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336005",
            "country_code": "US",
            "telephone_number": "303-425-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANKEY",
        "first_name": "LAUREL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65876750",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.