Sean Andrew Fitzsimmons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1080 Chinook LN
Pueblo, CO 81001-1850

Phone

(719) 564-9400

NPI assigned

Sep 21, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Midwestern University College of Dental Medicine, Downers Grove, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vanguard Medical Specialists, LLCGroup PAC ID 9436209285, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.fitzsimmons.p1@direct.vanguardmed.nextgenshare.com

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.

• Vanguard Medical Specialists LLC

  dba Vanguard Skin Specialists

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1518105253
  Medicare reassignment Care Compare group NPD
• Vanguard Medical Specialists LLC

  dba Vanguard Skin Specialists

  • Dermatology Physician
  • La Junta, CO
  • NPI 1497324297
  NPD
• Vanguard Medical Specialists, LLC

  dba Vanguard Skin Specialists

  • Dermatology Physician
  • Hugo, CO
  • NPI 1821890351

  Physician Assistant

  NPD
• Vanguard Medical Specialists, LLC

  dba Vanguard Skin Specialists

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1477326163

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1679296917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011850",
            "telephone_number": "719-564-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 CHINOOK LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011850",
            "telephone_number": "719-564-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "SEAN",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann Fisher, COTA/L
• Catherine Fitzgerald, MS, PA-C
• Josefina B Fitzgerald, DDS
• Janet Fitzpatrick
• Jennifer Fitzpatrick, MD
• Ryan Timothy Flanagan, LSW
• Charlotte Winnette Fleming, D.C.
• Jerrica Triniece Fletcher
• Kay Lu Flint
• Sierra Floody

• Physician Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.