NPIMap

Individual provider Active NPI

Alexandra Asdourian Hensley, PA-C

  • Surgical Physician Assistant
  • Lakewood, CO
National Provider Identifier
1487319364
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0008109 Issued in CO
Practice address
11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726
Phone
(720) 638-7500
Fax
(720) 321-8041
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008182 MD
Physician Assistant 363A00000X PA.0008109 CO
Surgical Physician Assistant 363AS0400X PA.0008109 CO Primary

Addresses

Primary practice location

11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726

Mailing address

PO Box 800022
Kansas City, MO 64180-0022

Other practice location 1

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone (720) 638-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220329002248 MD Practitioner - Physician Assistant 6800282922 Reassigns benefits to 1 organization
I20240115001780 CO Practitioner - Physician Assistant 6800282922 Reassigns benefits to 1 organization

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
Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

4350 Limelight Ave
Suite 100
Castle Rock, CO 80109-8034
Phone (720) 455-3775

5825 Delmonico Dr
Colorado Springs, CO 80919-2243
Phone (719) 257-4240

9403 Crown Crest Blvd
Suite 200
Parker, CO 80138-8991
Phone (303) 730-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists, Inc. CurrentSince Sep 7, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
St Paul Place Specialists Inc CurrentSince Sep 7, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4350 Limelight Ave
Unit 100
Castle Rock, CO 80109
Phone (720) 455-3775

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

12596 W Bayaud Ave
Ste 100
Lakewood, CO 80228
Phone (303) 551-4156

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

9980 Park Meadows Dr
Ste 101
Lone Tree, CO 80124

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

Organizations & group practices 8

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 7

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1487319364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 255",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281726",
            "telephone_number": "720-638-7500",
            "fax_number": "720-321-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Meadows Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098419",
            "country_code": "US",
            "telephone_number": "720-638-7500",
            "fax_number": "720-484-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "ALEXANDRA",
        "middle_name": "ASDOURIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008182",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008109",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0008109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.