Individual provider Active NPI

Niamh Elizabeth Gillespie, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1437857190
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009124 Issued in CO
Practice address
2923 Ginnala Dr
Loveland, CO 80538-2702
Phone
(970) 820-5000
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13028 NC
Physician Assistant 363A00000X PA.0009124 CO Primary

Addresses

Primary practice location

2923 Ginnala Dr
Loveland, CO 80538-2702

Mailing address

2923 Ginnala Dr
Loveland, CO 80538-2702

Other names 1

  • Niamh Elizabeth Sutherburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230417002390 NC Practitioner - Physician Assistant 7911372370 Reassigns benefits to 1 organization
I20251021004085 CO Practitioner - Physician Assistant 7911372370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2923 Ginnala Dr
Loveland, CO 80538-2702
Phone (970) 820-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009124COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Nov 1, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Nov 1, 2025 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 15, 2023 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2923 Ginnala Dr
Loveland, CO 80538
Phone (970) 669-6660

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Interoperability endpoints

  • Direct secure messaging: nsutherburg1012841@direct.novanthealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1437857190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 GINNALA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 GINNALA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382702",
            "telephone_number": "970-820-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "NIAMH",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13028",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIAMH",
            "last_name": "SUTHERBURG",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.