Pepper Knight Etters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

181 W Meadow Dr
Vail, CO 81657-5242

Phone

(970) 476-2451

Fax

(970) 479-7297

NPI assigned

Nov 18, 2010

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, TX, VA3 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 3

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians

Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Bristol Bay Area Health CorporationGroup PAC ID 5890699920, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Bay Dba Kanakanak Hospital Hospital, Dillingham, AK, CCN 021309
• Vail Health Hospital Hospital, Vail, CO, CCN 060096

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vvmc.direct@direct.vvmc.com

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.

• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment Care Compare group NPD
• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Avon, CO
  • NPI 1730747445
  Medicare reassignment Care Compare group
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070
  Medicare reassignment NPD
• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Medicare reassignment
• East Phillips County Hospital District

  dba Melissa Memorial Hospital SwingBed

  • Medicare Defined Swing Bed Hospital Unit
  • Holyoke, CO
  • NPI 1912915893
  Medicare reassignment
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Medicare reassignment
• VVMC Diversified Services

  dba Surgical Associates

  • Surgery Physician
  • Vail, CO
  • NPI 1750478459
  Medicare reassignment
• Colorado Mountain Medical, LLC

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1326793076
  NPD
• Colorado Mountain Medical, LLC

  • Urgent Care Clinic/Center
  • Dillon, CO
  • NPI 1760066211
  NPD
• Vail Clinic Inc

  dba Howard Head Sports Medicine at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1588211791
  NPD
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD
• VVMC Diversified Services

  dba Vail Health Clinics VVSC Vail

  • Surgery Physician
  • Vail, CO
  • NPI 1447904446
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vail Clinic Inc

  dba Shaw Cancer Clinic at Frisco

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  dba Beaver Creek Medical Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  dba Shaw Cancer Center - Service of Vail Health Hospital

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Togiak, AK
  • NPI 1093877680

  Hospital

  Care Compare affiliation
• Bristol Bay Area Health Corporation

  • Critical Access Hospital
  • Dillingham, AK
  • NPI 1831270842
  Care Compare affiliation
• Bristol Bay Area Health Corporation

  • Critical Access Hospital
  • Dillingham, AK
  • NPI 1962688309
  Care Compare affiliation

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1447552708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-476-2451",
            "fax_number": "970-479-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-476-2451",
            "fax_number": "970-479-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTERS",
        "first_name": "PEPPER",
        "middle_name": "KNIGHT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-18",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bryant P Elrick, MD, MS
• Douglas Emerson, PT, DPT, OCS, CMP
• Robert E Engelhart, DO
• Elena Viktorovna Ermolova
• Justin J Ernat, M.D.
• Thomas A Evans, MD
• Stephanie Facchini, ATC
• Brittany Faison, PHARMD
• John Faltus, DPT
• Anna Mariah Farrington, MS, ATC, OTC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.