Individual provider Active NPI

Katherine Mary Stolcis, PA

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1649344185
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2007 Issued in CO
Practice address
12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone
(303) 306-4321
Fax
(720) 524-1551
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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 2007 CO Primary

Addresses

Primary practice location

12250 E Iliff Ave
#300
Aurora, CO 80014-6318

Mailing address

12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone (303) 306-4321

Other identifiers 1

IdentifierTypeStateIssuer
98578022MedicaidCO

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
I20041027000070 CO Practitioner - Physician Assistant 8022070614 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC CurrentSince May 9, 2011 Accepting new patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 Accepting new patients
Inpatient Consultants of Colorado, PC Past Accepting new patients

Locations

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1649344185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "303-306-4321",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLCIS",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98578022",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.