Individual provider Active NPI

Candice Dorris Pusey, PA-C

  • Medical Physician Assistant
  • Golden, CO
National Provider Identifier
1528296381
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2791 Issued in CO
Practice address
17560 S Golden Rd
Suite 100
Golden, CO 80401-6005
Phone
(303) 526-1117
Fax
(303) 278-0611
NPI assigned
Jun 30, 2009
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2791 CO
Medical Physician Assistant 363AM0700X 2791 CO Primary

Addresses

Primary practice location

17560 S Golden Rd
Suite 100
Golden, CO 80401-6005

Mailing address

17560 S Golden Rd
Suite 100
Golden, CO 80401-6005
Phone (303) 526-1117

Other identifiers 1

IdentifierTypeStateIssuer
2791OtherCOCO STATE LICENSE

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
I20110909002797 CO Practitioner - Physician Assistant 3678743267 Reassigns benefits to 1 organization

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
Hill Center for Dermatology, PCGroup PAC ID 7113971268, 7 clinicians

Practice addresses (Care Compare)

17560 S Golden Rd
Suite 100
Golden, CO 80401-2694
Phone (303) 526-1117

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
71.32
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2791COMDClinical Psychologist

Organizations & group practices 1

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1528296381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 S GOLDEN RD",
            "address_2": "SUITE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016005",
            "telephone_number": "303-526-1117",
            "fax_number": "303-278-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 S GOLDEN RD",
            "address_2": "SUITE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016005",
            "telephone_number": "303-526-1117",
            "fax_number": "303-278-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSEY",
        "first_name": "CANDICE",
        "middle_name": "DORRIS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "2791",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO STATE LICENSE",
            "identifier": "2791",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.