Amy Wyatt Rosenblum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

955 Lawrence Way
Suite 150
Denver, CO 80204

Phone

(303) 615-9999

Fax

(720) 778-5850

NPI assigned

Sep 28, 2010

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Amy Lynn Wyatt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: arosenblum708359@soc.inova.org

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.

• Metropolitan State University of Denver

  dba Health Center at Auraria

  • Clinic/Center
  • Denver, CO
  • NPI 1629196324
  NPD
• Metropolitan State University of Denver

  dba Health Center at Auraria

  • Student Health Clinic/Center
  • Denver, CO
  • NPI 1710006259
  NPD
• Inova Physician Partners, Inc. - Specialists

  • Orthopaedic Surgery Physician
  • Leesburg, VA
  • NPI 1811204050
  NPD (past)
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1619286424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173362",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173362",
            "telephone_number": "303-615-9999",
            "fax_number": "720-778-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LAWRENCE WAY",
            "address_2": "SUITE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-615-9999",
            "fax_number": "720-778-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "22701",
            "country_code": "US",
            "telephone_number": "540-321-4281 x2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 S Seminole Trl",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "VA",
            "postal_code": "227272690",
            "country_code": "US",
            "telephone_number": "540-948-6871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "541 Sunset Ln Ste 301",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-4557 x3969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "AMY",
        "middle_name": "WYATT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "DT07529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619286424",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VVS807A",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arosenblum708359@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8100 Ashton Ave Ste 101",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201095647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WYATT",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Jordan Rosenberger
• Rebecca Ruth Rosenberger, MD
• Heather Tara Rosenblatt, LCSW
• Jacob Samuel Rosenblatt
• Max Rosenblatt
• Burton Erik Rosenblum, ED.D.
• Emma Rosenblum, LPC
• Cindy R Rosenbrook, R.EEG
• Adam Stanley Rosencrans
• Vicky Sue Rosener, RN

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.