Diane Gail McDonald, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2036 Issued in CO

Practice address

695 S Colorado Blvd Ste 160
Denver, CO 80246

Phone

(303) 991-7979

Fax

(303) 999-1794

NPI assigned

Oct 19, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

• Diane Gail Crawford Former name

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Metro Urgent Care LLCGroup PAC ID 4082058920, 5 clinicians

West Metro Urgent Care LLCGroup PAC ID 8729483912, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Metro Urgent Care LLC

  dba Three Peaks Urgent Care Aurora

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1215610282
  Medicare reassignment Care Compare group NPD
• West Metro Urgent Care LLC

  dba Three Peaks Urgent Care Lakewood

  • Urgent Care Clinic/Center
  • Lakewood, CO
  • NPI 1659949212
  Medicare reassignment Care Compare group
• Provident Senior Health, Inc.

  • Internal Medicine Physician
  • Englewood, CO
  • NPI 1780640169
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396827291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17953",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154074",
            "telephone_number": "303-991-7979",
            "fax_number": "303-991-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-991-7979",
            "fax_number": "303-999-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 Argonne St",
            "address_2": "Suite #100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802496834",
            "country_code": "US",
            "telephone_number": "303-344-8700",
            "fax_number": "303-344-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DIANE",
        "middle_name": "GAIL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CRAWFORD",
            "middle_name": "GAIL",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fiona Margot McDermut
• Matthew J. McDevitt
• Evelyn Kay McDivitt, M.D.
• Audrey McDonald, RD
• Courtney Elizabeth McDonald, MD
• Emma Grace Kroger McDonald, OTR/L
• Jessica McDonald, QBHA
• Kaitlin McDonald
• Kathleen McDonald, LMT
• Moriah Leigh McDonald

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.