NPIMap

Individual provider Active NPI

Cathleen Marie Failla, PA

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1477920908
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005392 Issued in CO
Practice address
4105 Briargate Pkwy Ste 200
Colorado Springs, CO 80920-3484
Phone
(719) 364-2800
Fax
(719) 364-2801
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA.0005392 CO
Physician Assistant 363A00000X PA.0005392 CO Primary

Addresses

Primary practice location

4105 Briargate Pkwy Ste 200
Colorado Springs, CO 80920-3484

Mailing address

9320 Grand Cordera Pkwy Ste 100
Colorado Springs, CO 80924-7004
Phone (719) 418-3839

Other practice location 1

200 ARH Lane Suite 102
Low Moor, VA 24457
Phone (540) 862-6710

Other practice location 2

200 ARH Lane Suite 102
Low Moor, VA 24457
Phone (540) 862-6710

Other practice location 3

919 S Craig Ave Ste A
Covington, VA 24426-1954
Phone (540) 960-2231

Other practice location 4

9320 Grand Cordera Pkwy Ste 100
Colorado Springs, CO 80924
Phone (719) 282-6337

Other names 1

  • Cathleen Marie Mueller Former name

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
I20200630000771 CO Practitioner - Physician Assistant 4183934250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4105 Briargate Pkwy
Suite 200
Colorado Springs, CO 80920-3484
Phone (719) 599-4692

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005392COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince May 10, 2021 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

9320 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 282-6337

4105 Briargate Pkwy
Ste 200
Colorado Springs, CO 80920
Phone (719) 364-2800

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1477920908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247004",
            "telephone_number": "719-418-3839",
            "fax_number": "719-282-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203484",
            "telephone_number": "719-364-2800",
            "fax_number": "719-364-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 ARH Lane Suite 102",
            "address_purpose": "LOCATION",
            "city": "Low Moor",
            "state": "VA",
            "postal_code": "24457",
            "country_code": "US",
            "telephone_number": "540-862-6710",
            "fax_number": "540-862-5727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 ARH Lane Suite 102",
            "address_purpose": "LOCATION",
            "city": "Low Moor",
            "state": "VA",
            "postal_code": "24457",
            "country_code": "US",
            "telephone_number": "540-862-6710",
            "fax_number": "540-862-5727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S Craig Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "VA",
            "postal_code": "244261954",
            "country_code": "US",
            "telephone_number": "540-960-2231",
            "fax_number": "540-960-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9320 Grand Cordera Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80924",
            "country_code": "US",
            "telephone_number": "719-282-6337",
            "fax_number": "719-282-0532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "CATHLEEN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "PA.0005392",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "MUELLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.