Anna Lynn Davern, PA
Individual provider Active NPI Physician Assistant · Colorado Springs, CO
NPI 1487460838 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1487460838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1715 N Weber St Ste 320
Colorado Springs, CO 80907-7554 - Phone
- (719) 632-4455
- NPI assigned
- Dec 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpine Medical Group Colorado PLLC
Matthews-Vu Medical Group, P.C.
Practice addresses (Care Compare)
Denver, CO 80202
Phone (720) 728-5170
104 Pro Rodeo Dr
Suite 100
Colorado Springs, CO 80919-2334
Phone (719) 555-0707
1715 N Weber St
Colorado Springs, CO 80907-7524
1715 N Weber St
Suite 320
Colorado Springs, CO 80907-7554
Phone (719) 632-4455
3210 N Academy Blvd
Suite 1
Colorado Springs, CO 80917-5158
Phone (719) 733-3131
4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone (719) 632-4455
Hospital & facility affiliations
- Uch-Memorial Health System
- Centura Health-Penrose St Francis Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250214001613 | CO | Practitioner - Physician Assistant | 8426588823 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group Colorado PLLC | Current |
Accepting new patients | |
| Matthews-Vu Medical Group, P.C. | Current |
Accepting new patients | |
| Matthews-Vu Medical Group, P.C. | Current |
Accepting new patients |
Locations
1715 N Weber St
Ste 320
Colorado Springs, CO 80907
Phone (719) 473-6171
4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851
104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707
1715 N Weber St
Ste 120
Colorado Springs, CO 80907
Phone (719) 471-8855
999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539
Interoperability endpoints
- anna.davern@mvmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1715 N Weber St Ste 320
Colorado Springs, CO 80907-7554
Mailing address
1715 N Weber St Ste 320
Colorado Springs, CO 80907-7554
Other providers in Colorado Springs, CO
- Shawn F Daugherty
- Jorge Davalos Jr.
- Dazah Davenport
- Devonte' Davenport
- Jenny Davenport
- David a Shapiro, PH.D., P.C.
- David Andrew Benson, DDS, PLLC
- David C Hopkins PHD PC
- David Doyle, PC
- David G Crabtree DDS PLLC
All providers in Colorado Springs, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.