Individual provider Active NPI

Charlotte Withers, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1619394376
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0004575 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 436-6000
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 51453 CA
Physician Assistant 363A00000X 0004575 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

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
I20160517000199 CO Practitioner - Physician Assistant 4880983774 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Practice addresses (Care Compare)

10552 E Arizona PL
Aurora, CO 80012-7007
Phone (303) 757-1500

1295 Colorado Blvd
Denver, CO 80206-3615
Phone (303) 639-1000

2290 S Colorado Blvd
Denver, CO 80222-4914
Phone (303) 756-4500

2848 Colorado Blvd
Denver, CO 80207-3016
Phone (303) 381-1100

3800 Irving St
Suite 10
Denver, CO 80211-1935
Phone (303) 477-6000

760 S Colorado Blvd
Glendale, CO 80246-1954

760 S Colorado Blvd
Unit B
Denver, CO 80246-1956
Phone (303) 692-8000

777 E Speer Blvd
Suite 100
Denver, CO 80203-4263
Phone (303) 733-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51453CAMDPhysician Assistant
0004575COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Apr 28, 2016 Accepting new patients
Urgent Care Solutions Glendale, P.C. CurrentSince Oct 1, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 28, 2016 Accepting new patients
Urgent Care Solutions, Glendale, PC CurrentSince Oct 1, 2020 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients

Locations

3790 W Colfax Ave
Unit B
Denver, CO 80204
Phone (303) 480-1000

1295 N Colorado Blvd
Denver, CO 80206
Phone (303) 399-6120

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

2290 S Colorado Blvd
Unit B
Denver, CO 80222
Phone (303) 756-4500

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

777 Bannock St
Denver, CO 80204

Organizations & group practices 8

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": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1619394376",
    "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": "802044507",
            "telephone_number": "303-436-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "CHARLOTTE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51453",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.