Individual provider Active NPI

Morgan Constantine Wimberley

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1679098099
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005926 Issued in CO
Practice address
2550 S Parker Rd
Aurora, CO 80014-1622
Phone
(303) 338-4545
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 PA2017-0056 NM
Physician Assistant 363A00000X PA.0005926 CO Primary

Addresses

Primary practice location

2550 S Parker Rd
Aurora, CO 80014-1622

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 338-4545

Other practice location 1

3917 West Rd Ste 150
Los Alamos, NM 87544-5303
Phone (505) 662-4351

Other practice location 2

15501 E 13th Ave
Aurora, CO 80011
Phone (303) 360-6276

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
I20230126001819 CO Practitioner - Physician Assistant 4284907064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Permanente Medical Group PCGroup PAC ID 1254238454, 1,325 clinicians

Practice addresses (Care Compare)

10350 E Dakota Ave
Denver, CO 80247-1314

10350 E Dakota Avenue B
Kaiser Permanente High
Denver, CO 80247-1314
Phone (303) 338-4545

10350 E Dakota Avenue C
Kaiser Permanente Highline Chemical
Denver, CO 80247-1314
Phone (303) 338-4545

11245 Huron St
Westminster, CO 80234-2806
Phone (303) 338-4545

4803 Ward Rd
Kaiser Permanente Wheat Ridge Med
Wheat Ridge, CO 80033-1902
Phone (303) 338-4545

5257 S Wadsworth Boulevard
Kaiser Permanente Southwest Medical
Littleton, CO 80123-2228
Phone (303) 338-4545

7701 Sheridan Blvd
Westminster, CO 80003-2605
Phone (303) 338-4545

8301 W Alameda Ave
KP Lakewood Medical Offices/Urgent Care
Lakewood, CO 80226-3007
Phone (303) 338-4545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2017-0056NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Permanente Medical Group, P.C. CurrentSince Jul 14, 2025 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 14, 2022 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 14, 2022 Accepting new patients

Locations

15501 E 13th Ave
Aurora, CO 80011
Phone (303) 942-0740

10680 Del Mar Pkwy
Aurora, CO 80010
Phone (303) 761-2153

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

2255 S Oneida St
Denver, CO 80224

3701 S Broadway
Englewood, CO 80113

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1679098099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314",
            "telephone_number": "303-338-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141622",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3917 West Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875445303",
            "country_code": "US",
            "telephone_number": "505-662-4351",
            "fax_number": "505-662-2932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15501 E 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80011",
            "country_code": "US",
            "telephone_number": "303-360-6276",
            "fax_number": "303-343-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBERLEY",
        "first_name": "MORGAN",
        "middle_name": "CONSTANTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2017-0056",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2550 S Parker Rd",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800141622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.