Individual provider Active NPI

Kathryn M Morlan, PA

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1508006271
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005109 Issued in CO
Practice address
2373 G Rd Ste 100
Grand Junction, CO 81505-1003
Phone
(970) 644-3800
Fax
(970) 644-3946
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06114 TX
Physician Assistant 363A00000X PA.0005109 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 100
Grand Junction, CO 81505-1003

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2619

Other practice location 1

1141 Keller Pkwy Ste B
Keller, TX 76248-1628
Phone (817) 741-2001

Other practice location 2

1141 Keller Pkwy Ste B
Keller, TX 76248-1628
Phone (817) 741-2001

Other names 1

  • Kathryn M Pasternak 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
I20171107000163 CO Practitioner - Physician Assistant 7012074545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Dermatology PLLCGroup PAC ID 3577738012, 5 clinicians

Practice addresses (Care Compare)

2730 Commercial Way
Montrose, CO 81401-5693
Phone 970964403616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06114TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Healthcare System CurrentSince Oct 1, 2017 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 17, 2023 Accepting new patients
Montrose Dermatology PLLC Current Accepting new patients
Colorado West Healthcare System CurrentSince Oct 1, 2017 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jul 17, 2023 Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

2730 Commercial Way
Montrose, CO 81401
Phone (970) 964-4036

Organizations & group practices 7

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508006271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2619",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "970-644-3800",
            "fax_number": "970-644-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Keller Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762481628",
            "country_code": "US",
            "telephone_number": "817-741-2001",
            "fax_number": "817-741-2015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 Keller Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762481628",
            "country_code": "US",
            "telephone_number": "817-741-2001",
            "fax_number": "817-741-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORLAN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06114",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PASTERNAK",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.