Individual provider Active NPI

Anne M Stavros, PA-C

  • Medical Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1518319094
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0005582 Issued in CO
Practice address
2601 Midpoint Dr Ste 100
Fort Collins, CO 80525-4448
Phone
(970) 980-2425
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA0005582 CO Primary
Physician Assistant 363A00000X 5582 CO
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

2601 Midpoint Dr Ste 100
Fort Collins, CO 80525-4448

Mailing address

2601 Midpoint Dr Ste 100
Fort Collins, CO 80525-4448
Phone (970) 980-2425

Other identifiers 1

IdentifierTypeStateIssuer
PA.0005582OtherCODEPT OF REGULATORY AGENCIES DORA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161022000043 DC Practitioner - Physician Assistant 5890073001 Reassigns benefits to 1 organization
I20161115001791 VA Practitioner - Physician Assistant 5890073001 Reassigns benefits to 1 organization
I20181220002544 CO Practitioner - Physician Assistant 5890073001 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5582COMDPhysical Therapist
PA0005582COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2016 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Sep 1, 2016 Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Interoperability endpoints

  • Direct secure messaging: annie.stavros.1@14940.direct.athenahealth.com

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1518319094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MIDPOINT DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254448",
            "telephone_number": "970-980-2425",
            "fax_number": "970-980-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MIDPOINT DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254448",
            "telephone_number": "970-980-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVROS",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0005582",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "5582",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF REGULATORY AGENCIES DORA",
            "identifier": "PA.0005582",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.