NPIMap

Individual provider Active NPI

Dana J.H. Benner, PA-C

  • Physician Assistant
  • Boulder, CO
National Provider Identifier
1629129291
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002969 Issued in CO
Practice address
5495 Arapahoe Ave Ste 100
Boulder, CO 80303-1224
Phone
(303) 415-4250
Fax
(303) 440-9629
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 PA.0002969 CO Primary

Addresses

Primary practice location

5495 Arapahoe Ave Ste 100
Boulder, CO 80303-1224

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 415-4101

Other practice location 1

2525 13th St
Boulder, CO 80304-4104
Phone (303) 449-6050

Other practice location 2

11550 Sheridan Blvd
Westminster, CO 80020-3311
Phone (303) 469-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dana.benner.p4@direct.clinicafamilyhealth.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000216 CO Practitioner - Physician Assistant 7315994100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians

Practice addresses (Care Compare)

1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450

3434 47TH St
Boulder, CO 80301-1817
Phone (303) 376-0184

5495 Arapahoe Ave
Boulder, CO 80303-1224

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2969COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Aug 1, 2024 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 16, 2018 Accepting new patients
Boulder Community Health CurrentSince Aug 1, 2024 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Dec 16, 2018 Accepting new patients
Simms Crossing Family Practice Inc PastSince Jul 30, 2013 Accepting new patients
Flatirons Family Practice Inc PastSince Jan 9, 2011 Accepting new patients
Boulder Community Health Past Accepting new patients
California Pacific Cardiovascular Medical Group Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

2525 13th St
Boulder, CO 80304
Phone (303) 449-6050

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

5495 Arapahoe Ave
Ste 100
Boulder, CO 80303
Phone (303) 415-4250

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

Interoperability endpoints

  • Direct secure messaging: dana.benner.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1629129291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-415-4101",
            "fax_number": "303-415-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 ARAPAHOE AVE STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031224",
            "telephone_number": "303-415-4250",
            "fax_number": "303-440-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 13th St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803044104",
            "country_code": "US",
            "telephone_number": "303-449-6050",
            "fax_number": "720-565-4132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11550 Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800203311",
            "country_code": "US",
            "telephone_number": "303-469-6000",
            "fax_number": "303-469-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNER",
        "first_name": "DANA",
        "middle_name": "J.H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana.benner.p4@direct.clinicafamilyhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2525 13th St",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803044104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.