Individual provider Active NPI

Kayla Stoick, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1427539626
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005424 Issued in CO
Practice address
499 E Hampden Ave Ste 420
Englewood, CO 80113-2794
Phone
(303) 788-8888
Fax
(866) 896-1158
NPI assigned
Aug 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 PA.0005424 CO Primary

Addresses

Primary practice location

499 E Hampden Ave Ste 420
Englewood, CO 80113-2794

Mailing address

499 E Hampden Ave Ste 420
Englewood, CO 80113-2794
Phone (303) 788-8888

Other names 1

  • Katherine Stoick Other name

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
I20181017000511 CO Practitioner - Physician Assistant 4880946060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 312
Lone Tree, CO 80124-5525
Phone (303) 788-8888

3911 Ambrosia St
Suite 201
Castle Rock, CO 80109-3888
Phone (303) 788-8888

499 E Hampden Ave
Suite 420
Englewood, CO 80113-2794
Phone (303) 788-8888

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005424COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC CurrentSince Dec 10, 2021 Accepting new patients

Locations

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

Interoperability endpoints

  • Direct secure messaging: kayla.stoick.1@3461.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1427539626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132794",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 420",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132794",
            "telephone_number": "303-788-8888",
            "fax_number": "866-896-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOICK",
        "first_name": "KAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "STOICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.