Active NPI
Bailey Moberly, PA-C
- Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0008911
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 303-4364
- Fax
- (303) 602-6931
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0008911 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
777 Bannock St
Denver, CO 80204-4597
Phone (303) 303-4364
Other practice location 1
1634 Downing St
Denver, CO 80218-1529
Phone (303) 504-1810
Other practice location 2
1500 N Renaissance Blvd NE Ste C
Albuquerque, NM 87107-7002
Phone (505) 266-5565
Other practice location 3
1890 N Revere Ct
Aurora, CO 80045-7464
Phone (303) 724-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
1890 N Revere Ct
Ste 4020
Aurora, CO 80045
Phone (303) 724-1000
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
1890 N Revere Ct
Aurora, CO 80045
Phone (303) 724-1000
777 Bannock St
Ste MC3450
Denver, CO 80204
777 Bannock St
Denver, CO 80204
Interoperability endpoints
- bmoberly307035@direct.dhha.org
Organizations & group practices 6
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
-
- Internal Medicine Physician
- Lone Tree, CO
- NPI 1396257143
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1922049014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1619288586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-303-4364",
"fax_number": "303-602-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-303-4364",
"fax_number": "303-602-6931"
}
],
"practiceLocations": [
{
"address_1": "1634 Downing St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802181529",
"country_code": "US",
"telephone_number": "303-504-1810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 N Renaissance Blvd NE Ste C",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871077002",
"country_code": "US",
"telephone_number": "505-266-5565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1890 N Revere Ct",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457464",
"country_code": "US",
"telephone_number": "303-724-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOBERLY",
"first_name": "BAILEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0008911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.