Individual provider Active NPI

Julie Anne Bennett, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1619721271
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0008472 Issued in CO
Practice address
4700 Hale Pkwy Ste 550
Denver, CO 80220-4053
Phone
(303) 321-6600
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.0008472 CO Primary

Addresses

Primary practice location

4700 Hale Pkwy Ste 550
Denver, CO 80220-4053

Mailing address

2525 18TH St Apt 343
Denver, CO 80211-6426
Phone (317) 753-6337

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
I20240508001362 CO Practitioner - Physician Assistant 4183065188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060

4700 Hale Pkwy
Suite 330
Denver, CO 80220-4045
Phone (303) 697-7463

4700 Hale Pkwy
Suite 550
Denver, CO 80220-4053
Phone (303) 321-6600

Hospital & facility affiliations

  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0008472COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Apr 18, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Apr 18, 2024 Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

4700 Hale Pkwy
Ste 550
Denver, CO 80220
Phone (303) 321-6600

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

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.

Hospital & facility affiliations 1

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1619721271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 18TH ST APT 343",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802116426",
            "telephone_number": "317-753-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 550",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204053",
            "telephone_number": "303-321-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0008472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.