NPIMap

Individual provider Active NPI

Pamela Kristine Dreyer, PA

  • Physician Assistant
  • Avon, CO
National Provider Identifier
1457029993
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007636 Issued in CO
Practice address
50 Buck Creek Rd Ste 105
Avon, CO 81620-5428
Phone
(970) 947-0601
NPI assigned
Aug 31, 2021
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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.0007636 CO Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 105
Avon, CO 81620-5428

Mailing address

5739 Boston St
Denver, CO 80238-2383
Phone (907) 230-8388

Other practice location 1

377 Sylvan Lake Rd Ste 140
Eagle, CO 81631-6779
Phone (970) 947-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260602002153 TX Practitioner - Physician Assistant 7618448564 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)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007636COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Primary Care LLC PastSince Oct 29, 2023 Accepting new patients
Allergy, Asthma & Immunology of the Rockies, PC PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1457029993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 BOSTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382383",
            "telephone_number": "907-230-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 105",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-947-0601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Sylvan Lake Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-947-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREYER",
        "first_name": "PAMELA",
        "middle_name": "KRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.