NPIMap

Individual provider Active NPI

Adam J. Yeagley, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1477611952
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1533 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(720) 321-4161
Fax
(720) 321-4165
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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 1533 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

PO Box 5788
Denver, CO 80217-5788
Phone (303) 202-1280

Other identifiers 2

IdentifierTypeStateIssuer
72155230MedicaidCO
P00417259OtherCORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070111000684 CO Practitioner - Physician Assistant 0345240529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kremmling Memorial Hospital DistrictGroup PAC ID 7517871544, shared by 6 NPIs, 37 clinicians

Practice addresses (Care Compare)

214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442

400 Grand Ave
Kremmling, CO 80459-0399
Phone (970) 724-3524

P O Box
Suite 399
Kremmling, CO 80459-0399

PO Box
Suite 399
Kremmling, CO 80459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
76.83
Promoting interoperability
100
Improvement activities
40
Cost
35.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1533COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care PLLC CurrentSince Feb 15, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 24, 2017 Accepting new patients
Premier Emergency Services, Inc CurrentSince Apr 1, 2015 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Feb 15, 2021 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 24, 2017 Accepting new patients
Apex Emergency Group, Inc Past Accepting new patients
Kremmling Memorial Hospital District Past Accepting new patients

Locations

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1477611952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5788",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175788",
            "telephone_number": "303-202-1280",
            "fax_number": "303-202-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-4161",
            "fax_number": "720-321-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLEY",
        "first_name": "ADAM",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72155230",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00417259",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.