NPIMap

Individual provider Active NPI

Janina Korba, PA-C

  • Physician Assistant
  • Windsor, CO
National Provider Identifier
1598388688
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007566 Issued in CO
Practice address
1555 Main St Unit A6
Windsor, CO 80550-5999
Phone
(970) 682-3377
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007566 CO Primary

Addresses

Primary practice location

1555 Main St Unit A6
Windsor, CO 80550-5999

Mailing address

918 Hover Ridge Cir
Longmont, CO 80501-4141
Phone (720) 290-1620

Other practice location 1

101 Erie Pkwy Ste 201G
Erie, CO 80516-4072
Phone (303) 443-2123

Other practice location 2

4743 Arapahoe Ave Ste 100
Boulder, CO 80303-1123
Phone (303) 443-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221024001833 CO Practitioner - Physician Assistant 8729454335 Reassigns benefits to 2 organizations
I20240909002617 WY Practitioner - Physician Assistant 8729454335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Dermatology LLCGroup PAC ID 2365840824, 3 clinicians

Practice addresses (Care Compare)

1555 Main St
Unit A6
Windsor, CO 80550-5999
Phone (970) 682-3377

1907 Boise Ave
Loveland, CO 80538-5016
Phone (970) 682-3377

204 McCollum St
Suite 107
Laramie, WY 82070-5151
Phone (970) 682-3377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007566COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Oct 31, 2022 Accepting new patients
Boulder Community Health CurrentSince Oct 31, 2022 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

4743 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4599

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

101 Erie Pkwy
Ste 201G
Erie, CO 80516
Phone (303) 415-4599

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1598388688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 HOVER RIDGE CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014141",
            "telephone_number": "720-290-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MAIN ST UNIT A6",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505999",
            "telephone_number": "970-682-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Erie Pkwy Ste 201G",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "303-443-2123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4743 Arapahoe Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031123",
            "country_code": "US",
            "telephone_number": "303-443-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORBA",
        "first_name": "JANINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.