Individual provider Active NPI

Kaylyn Vonglahn, PA

  • Medical Physician Assistant
  • Conifer, CO
National Provider Identifier
1649554569
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
00004395 Issued in CO
Practice address
26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone
(303) 647-5280
Fax
(877) 892-7288
NPI assigned
Oct 11, 2011
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 00004395 CO Primary

Addresses

Primary practice location

26659 Pleasant Park Rd
Conifer, CO 80433-7768

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

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
I20200109001410 CO Practitioner - Physician Assistant 0143467845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conifer Medical Center, PCGroup PAC ID 4789676131, 16 clinicians

Practice addresses (Care Compare)

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00004395COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care Physicians, PC CurrentSince Nov 17, 2019 Accepting new patients
Conifer Medical Center, PC Past Accepting new patients

Locations

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

Interoperability endpoints

  • Direct secure messaging: kaylyn.vrlec@cmcp.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1649554569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5300",
            "fax_number": "877-892-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5280",
            "fax_number": "877-892-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONGLAHN",
        "first_name": "KAYLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "00004395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

Verify at the official NPI Registry.