Active NPI
Kyle Faulkner
- Physician Assistant
- Lone Tree, CO
National Provider Identifier
1427614262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007403
- Practice address
- 10375 Park Meadows Dr # 270
Lone Tree, CO 80124-6735 - Phone
- (303) 351-5995
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007403 | VA | Primary |
Addresses
Primary practice location
10375 Park Meadows Dr # 270
Lone Tree, CO 80124-6735
Mailing address
4165 Quarles CT
Rockingham, VA 22801-3576
Phone (540) 434-1664
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
Enrollment records 1
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)
400 S Colorado Blvd
Suite 600
Denver, CO 80246-1239
Phone (720) 724-3668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Wellness Associates | Past | Accepting new patients | |
| Denver Wellness Associates | Past | Accepting new patients | |
| Denver Wellness Associates | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1427614262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 QUARLES CT",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228013576",
"telephone_number": "540-434-1664",
"fax_number": "540-433-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10375 PARK MEADOWS DR # 270",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801246735",
"telephone_number": "303-351-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKNER",
"first_name": "KYLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.