NPIMap

Individual provider Active NPI

Summer Renee Irelan, PA-C, MMS

  • Family Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1508909896
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2376 Issued in CO
Practice address
9331 S. Colorado Blvd.
# 200
Highlands Ranch, CO 80216
Phone
(303) 471-4711
Fax
(303) 471-4767
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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 2376 CO
Family Medicine Physician 207Q00000X 2376 CO Primary

Addresses

Primary practice location

9331 S. Colorado Blvd.
# 200
Highlands Ranch, CO 80216

Mailing address

9331 S. Colorado Blvd.
# 200
Highlands Ranch, CO 80216
Phone (303) 471-4711

Other names 1

  • Ms. Summer Renee Tangeman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070531000514 CO Practitioner - Physician Assistant 2365540234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

6169 S Balsam Way
Suite 190
Littleton, CO 80123-3000
Phone (303) 933-8240

Hospital & facility affiliations

  • Namaste Home Health Home health agency, Centennial, CO, CCN 067471
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2376COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Senior Health, Inc. Past Accepting new patients
Aspen Family Care, PLLC PastSince Jul 1, 2022 Accepting new patients
Midtown Inpatient Medicine LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1508909896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 S. COLORADO BLVD.",
            "address_2": "# 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80216",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S. COLORADO BLVD.",
            "address_2": "# 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80216",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAN",
        "first_name": "SUMMER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA-C, MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2376",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "TANGEMAN",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "PA-C, MMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.