NPIMap

Individual provider Active NPI

Lisa M Habersbrunner, PA

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1598837627
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005688 Issued in CO
Practice address
12505 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Nov 14, 2006
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 2057-023 WI
Medical Physician Assistant 363AM0700X PA.0005688 CO Primary

Addresses

Primary practice location

12505 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 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
I20151009001302 FL Practitioner - Physician Assistant 8729087101 Reassigns benefits to 2 organizations
I20230306000714 CO Practitioner - Physician Assistant 8729087101 Reassigns benefits to 6 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
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

11820 Destination Dr
Broomfield, CO 80021-2518
Phone (720) 848-0000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
86.21
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2057-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc CurrentSince Dec 11, 2024 Accepting new patients
University Physicians Incorporated Family Medicine CurrentSince Sep 15, 2025 Accepting new patients
University Physicians, Incorporated CurrentSince Sep 15, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Oct 30, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Dec 20, 2020 Accepting new patients
Emergency Service Physicians, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Nov 11, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado, Inc CurrentSince Nov 11, 2024 Accepting new patients
Usacs of Colorado Inc CurrentSince Dec 11, 2024 Accepting new patients
Premier Emergency Services, Inc CurrentSince Oct 1, 2024 Accepting new patients
University Physicians Incorporated Family Medicine Current Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

11820 Destination Dr
Broomfield, CO 80021
Phone (303) 460-6000

Dept 1061
Denver, CO 80256

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

11900 Grant St
Northglenn, CO 80233
Phone (303) 812-5095

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1598837627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11820 Destination Dr",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800212518",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "fax_number": "303-460-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERSBRUNNER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2057-023",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.