NPIMap

Individual provider Active NPI

Julie Ann Hsu

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1417065244
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002267 Issued in CO
Practice address
1707 Cole Blvd
Ste #100
Golden, CO 80401-3220
Phone
(303) 716-8018
Fax
(303) 763-5495
NPI assigned
Aug 29, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0002267 CO
Physician Assistant 363A00000X PA.0002267 CO Primary

Addresses

Primary practice location

1707 Cole Blvd
Ste #100
Golden, CO 80401-3220

Mailing address

1707 Cole Blvd
Ste #100
Golden, CO 80401-3220
Phone (303) 716-8018

Other identifiers 2

IdentifierTypeStateIssuer
P01399153OtherCORAIL ROAD MEDICARE
13428730MedicaidCO

Other names 1

  • Julie Ann Thelen Former name

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
I20061129000264 CO Practitioner - Physician Assistant 2567460504 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 10, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 6, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 10, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 6, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 6, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 6, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Cardiovascular Associates PC Past Accepting new patients
Midtown Inpatient Medicine LLC Past Accepting new patients

Locations

835 E 18th Ave
Ste 110
Denver, CO 80218
Phone (303) 825-4646

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

3655 Lutheran Pkwy
Ste 201
Wheat Ridge, CO 80033
Phone (303) 420-0206

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1417065244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013220",
            "telephone_number": "303-716-8018",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD",
            "address_2": "STE #100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013220",
            "telephone_number": "303-716-8018",
            "fax_number": "303-763-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0002267",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01399153",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13428730",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "THELEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.