Individual provider Active NPI

Julie K Green, P.A.

  • Physician Assistant
  • Windsor, CO
National Provider Identifier
1497721666
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3681 Issued in CO
Practice address
1455 Main St Ste 140
Windsor, CO 80550-5559
Phone
(970) 686-3950
Fax
(970) 686-3960
NPI assigned
Feb 27, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 3681 CO Primary

Addresses

Primary practice location

1455 Main St Ste 140
Windsor, CO 80550-5559

Mailing address

1455 Main St Ste 140
Windsor, CO 80550-5559
Phone (970) 686-3950

Other identifiers 1

IdentifierTypeStateIssuer
58135120MedicaidCO

Other names 1

  • Julie K Thornton Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140701001213 CO Practitioner - Physician Assistant 4082633169 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

1113 Oakridge Dr
Fort Collins, CO 80525-5591
Phone (970) 449-0961

205 S Main St
Suite B
Longmont, CO 80501-1714
Phone (303) 772-6244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003681COMDOrthopedic Physical Therapist
3681COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Fort Collins PCP LLC Past Accepting new patients
Orthovirginia, Inc Physician Assistant Past Accepting new patients
Virginia Diabetes and Endocrinology PC PastSince Jul 1, 2004 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1497721666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 140",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505559",
            "telephone_number": "970-686-3950",
            "fax_number": "970-686-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 140",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505559",
            "telephone_number": "970-686-3950",
            "fax_number": "970-686-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58135120",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "THORNTON",
            "middle_name": "K",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.