Individual provider Active NPI

Rachelle R Webster, PA-C

  • Physician Assistant
  • Centennial, CO
National Provider Identifier
1609892678
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1368 Issued in CO
Practice address
7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026
Phone
(303) 721-9984
Fax
(303) 996-3278
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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 1368 CO Primary

Addresses

Primary practice location

7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026

Mailing address

16059 E Otero PL
Englewood, CO 80112-4601
Phone (303) 400-3836

Other names 1

  • Rachelle R Roberts Former name

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
I20050602001121 CO Practitioner - Physician Assistant 9931142775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology of the Rockies LLCGroup PAC ID 7315962008, 11 clinicians

Practice addresses (Care Compare)

9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8881
Phone (303) 840-5051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1368COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology of the Rockies, LLC CurrentSince Aug 1, 2023 Accepting new patients
Neurology of the Rockies, LLC Past Accepting new patients

Locations

4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636

950 E Harvard Ave
Ste 570
Denver, CO 80210
Phone (303) 715-9024

125 Inverness Dr E
Ste 330
Englewood, CO 80112
Phone (303) 799-1443

9235 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-5051

Interoperability endpoints

  • Direct secure messaging: rachellewebster@clhealth.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1609892678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16059 E OTERO PL",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124601",
            "telephone_number": "303-400-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 S YOSEMITE ST",
            "address_2": "SUITE 210",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122026",
            "telephone_number": "303-721-9984",
            "fax_number": "303-996-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "RACHELLE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "ROBERTS",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.