Individual provider Active NPI

Beth Pack, PA

  • Physician Assistant
  • Salida, CO
National Provider Identifier
1669401261
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2578 Issued in CO
Practice address
550 W Hwy 50
Salida, CO 81201-2238
Phone
(719) 539-2048
Fax
(719) 539-2055
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 2953 AZ
Physician Assistant 363A00000X PA-2578 CO Primary

Addresses

Primary practice location

550 W Hwy 50
Salida, CO 81201-2238

Mailing address

PO Box 429
Salida, CO 81201-0429
Phone (719) 530-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address orthopedics@hrrmcmedicalclinics.ssdirect.aprima.com

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
I20090106000562 CO Practitioner - Physician Assistant 7810981768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, 100 clinicians

Practice addresses (Care Compare)

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477

704 Edwards Ave
Westcliffe, CO 81252-8588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2953AZMDPediatrics Physician
PA-2578COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Mar 1, 2008 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Salida Hospital District CurrentSince Mar 1, 2008 Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

704 Edwards Ave
Westcliffe, CO 81252
Phone (719) 545-1607

Organizations & group practices 5

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1669401261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010429",
            "telephone_number": "719-530-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W HWY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012238",
            "telephone_number": "719-539-2048",
            "fax_number": "719-539-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2953",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-2578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orthopedics@hrrmcmedicalclinics.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.