Individual provider Active NPI

Megan Pinkerton, PA-C

  • Physician Assistant
  • Longmont, CO
National Provider Identifier
1447924113
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0006869 Issued in CO
Practice address
820 Bowen St
Longmont, CO 80501-4416
Phone
(720) 253-8651
Fax
(720) 253-8651
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 0006869 CO Primary

Addresses

Primary practice location

820 Bowen St
Longmont, CO 80501-4416

Mailing address

820 Bowen St
Longmont, CO 80501-4416

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
I20220324001612 CO Practitioner - Physician Assistant 3072908201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

3715 Parkmoor Village Dr
Suite 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0006869COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 Accepting new patients

Locations

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1447924113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BOWEN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BOWEN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014416",
            "telephone_number": "720-253-8651",
            "fax_number": "720-253-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.