Individual provider Active NPI

Elaine Halter Stickrath, M.D.

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1487827366
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51093 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 602-9726
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRAINING LICENCE CO
Obstetrics & Gynecology Physician 207V00000X 51093 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

777 Bannock St
Denver, CO 80204-4507
Phone (303) 602-9726

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000310 CO Practitioner - Obstetrics/Gynecology 9234385055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians

Practice addresses (Care Compare)

1100 Central Park Dr
Suite 1000
Steamboat Springs, CO 80487-8818
Phone (970) 879-3738

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51093COMDObstetrics & Gynecology Physician
TRAINING LICENCECOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 21, 2012 Accepting new patients
Yampa Valley Medical Center CurrentSince Jan 31, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 21, 2012 Accepting new patients
Yampa Valley Medical Center CurrentSince Jan 31, 2022 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

595 Russell St
Craig, CO 81625
Phone (970) 824-1020

777 Bannock St
Denver, CO 80204

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

1100 Central Park Dr
Ste 1000
Steamboat Springs, CO 80487
Phone (970) 879-3738

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Organizations & group practices 5

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 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1487827366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKRATH",
        "first_name": "ELAINE",
        "middle_name": "HALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "TRAINING LICENCE",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "51093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.