NPIMap

Individual provider Active NPI

Sallie Peters, PA

  • Surgical Physician Assistant
  • Westminster, CO
National Provider Identifier
1396158192
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
500 W 144TH Ave Ste 230
Westminster, CO 80023-9328
Phone
(303) 665-2603
Fax
(303) 665-2605
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X CO Primary

Addresses

Primary practice location

500 W 144TH Ave Ste 230
Westminster, CO 80023-9328

Mailing address

500 W 144TH Ave Ste 120
Westminster, CO 80023-9326
Phone (720) 627-4980

Other practice location 1

3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028
Phone (303) 665-2603 ext. 223

Other practice location 2

80 Health Park Dr
Suite 230
Louisville, CO 80027-9584
Phone (303) 665-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141111002031 CO Practitioner - Physician Assistant 4981826781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0207

14300 Orchard Pkwy Floor 2 Pod
1 Ornh Pain Specialists
Westminster, CO 80023-9206
Phone (303) 661-4100

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 1, 2022 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

500 W 144th Ave
Ste 120
Westminster, CO 80023
Phone 30377216003215

500 W 144th Ave
Ste 230
Westminster, CO 80023
Phone 3036652603 ext. 223

3455 Lutheran Pkwy
Ste 105
Wheat Ridge, CO 80033
Phone (303) 456-6000

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: salliepeters@occllc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1396158192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 120",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239326",
            "telephone_number": "720-627-4980",
            "fax_number": "720-627-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 144TH AVE STE 230",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239328",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Lutheran Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336028",
            "country_code": "US",
            "telephone_number": "303-665-2603 x223",
            "fax_number": "303-665-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Health Park Dr",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279584",
            "country_code": "US",
            "telephone_number": "303-665-2603",
            "fax_number": "303-665-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SALLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.