Individual provider Active NPI

Kristy Jo Karkula

  • Physician Assistant
  • Steamboat Springs, CO
National Provider Identifier
1609820786
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002817 Issued in CO
Practice address
1600 Mid Valley Dr Unit a
Steamboat Springs, CO 80487-9006
Phone
(970) 871-9770
Fax
(970) 871-9771
NPI assigned
May 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2817 CO
Physician Assistant 363A00000X PA.0002817 CO Primary

Addresses

Primary practice location

1600 Mid Valley Dr Unit a
Steamboat Springs, CO 80487-9006

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4128

Other practice location 1

2305 Mount Werner Cir Ste P.027
Steamboat Springs, CO 80487-9023
Phone (970) 871-8038

Other identifiers 2

IdentifierTypeStateIssuer
50652273MedicaidCO
P00835976OtherCORAILROAD MEDICARE

Other names 1

  • Kristy Jo Matz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkarkula166207@direct.dhha.org Health Information Exchange (HIE)

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
I20090810000039 CO Practitioner - Physician Assistant 9032210596 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Denver Health and Hospital AuthorityGroup PAC ID 0840629630, 13 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

1545 California St
Denver, CO 80202-4214
Phone (303) 436-6000

1600 Mid Valley Dr
Unit a
Steamboat Springs, CO 80487-9006
Phone (970) 879-1322

2305 Mount Werner Cir
Suite P.027
Steamboat Springs, CO 80487-9023
Phone (970) 871-8038

Hospital & facility affiliations

  • Denver Health & Hospital Authority Hospital, Denver, CO, CCN 060011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10220MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Yampa Valley Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 31, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 31, 2019 Accepting new patients
Yampa Valley Medical Center PastSince Aug 1, 2022 Accepting new patients

Locations

777 Bannock St
#1926
Denver, CO 80204

777 Bannock St
Denver, CO 80204

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2305 Mount Werner Cir
Steamboat Springs, CO 80487

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (970) 871-9770

2305 Mount Werner Cir
Ste P27
Steamboat Springs, CO 80487
Phone (970) 871-8038

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Interoperability endpoints

  • Direct secure messaging: kkarkula166207@direct.dhha.org

Organizations & group practices 9

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1609820786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4128",
            "fax_number": "970-490-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MID VALLEY DR UNIT A",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879006",
            "telephone_number": "970-871-9770",
            "fax_number": "970-871-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Mount Werner Cir Ste P.027",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804879023",
            "country_code": "US",
            "telephone_number": "970-871-8038",
            "fax_number": "970-871-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARKULA",
        "first_name": "KRISTY",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2817",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50652273",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00835976",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkarkula166207@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "MATZ",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.