Carly E Routzahn, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005999 Issued in CO

Practice address

3480 Wolverine Dr Ste F
Montrose, CO 81401-4965

Phone

(970) 399-5617

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carly E Peterson Former name

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Montrose, LLCGroup PAC ID 7012137995, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carly.routzahn@56434976161796.direct.elationemr.com
• Direct secure messaging: carly.peterson@195556196810756.direct.elationemr.com

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.

• Integrated Dermatology of Montrose, LLC

  • Dermatology Physician
  • Montrose, CO
  • NPI 1831507805
  Medicare reassignment Care Compare group
• Haley Dermatology & Skin Care Center, P.C.

  • Medical Specialty Clinic/Center
  • Montrose, CO
  • NPI 1245471085
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1518303189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 WOLVERINE DR STE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "970-399-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WOLVERINE DR STE F",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014965",
            "telephone_number": "970-399-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTZAHN",
        "first_name": "CARLY",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "PETERSON",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taneesha Ann Rodriguez, RN
• Connie Ronngren
• Gregory D Ross, MD
• Jane D Ross, LPC
• Samantha Ann Ross, RMT
• William Russell II, LMT
• Safeway Inc (Safeway Pharmacy #1131)
• Amr A Salem, MD
• San Juan Anesthesia LLC
• San Juan Anesthesia PLLC

• Physician Assistant in Montrose, CO
• Providers in Montrose, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.