Active NPI
Emma Dueck
- Physician Assistant
- Aurora, CO
National Provider Identifier
1457084675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0009176
- Practice address
- 12401 E 17TH Ave
Aurora, CO 80045-2525 - Phone
- (720) 848-6777
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- 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 | PA.0009176 | CO | Primary |
Addresses
Primary practice location
12401 E 17TH Ave
Aurora, CO 80045-2525
Mailing address
12401 E 17TH Ave
Aurora, CO 80045-2525
Phone (720) 848-6777
Other practice location 1
11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000
Other practice location 2
2490 W 26th Ave Ste 300
Denver, CO 80211-5314
Phone (303) 831-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0009176 | CO | MD | Physician Assistant |
Interoperability endpoints
- emma.dueck@4387.securemail.prognocis.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1457084675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452525",
"telephone_number": "720-848-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452525",
"telephone_number": "720-848-6777"
}
],
"practiceLocations": [
{
"address_1": "11820 Destination Dr",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800212518",
"country_code": "US",
"telephone_number": "720-848-0000",
"fax_number": "303-460-6197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2490 W 26th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802115314",
"country_code": "US",
"telephone_number": "303-831-9393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUECK",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0009176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.