Individual provider Active NPI

Pamela Kim Engler, PA-C

  • Medical Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1679793178
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
768 Issued in CO
Practice address
3 Oakwood Park PLZ
Castle Rock, CO 80104-1887
Phone
(303) 688-0660
Fax
(303) 660-8029
NPI assigned
Apr 26, 2007
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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 768 CO Primary

Addresses

Primary practice location

3 Oakwood Park PLZ
Castle Rock, CO 80104-1887

Mailing address

2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109-8405
Phone (303) 218-7774

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
I20120829000693 CO Practitioner - Physician Assistant 3476700220 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 1, 2013 Accepting new patients
Afterours Inc CurrentSince Apr 1, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2013 Accepting new patients
Castle Rock Medical Clinic, P.C. Past Accepting new patients
Douglas Family Medicine, P.C. Past Accepting new patients

Locations

2356 Meadows Blvd
Ste 140B
Castle Rock, CO 80109
Phone (303) 218-7774

3 Oakwood Park Plz
Castle Rock, CO 80104
Phone (303) 688-0660

831 S Perry St
Ste 200
Castle Rock, CO 80104
Phone (303) 218-7774

1900 N Grant St
Ste 1000
Denver, CO 80203
Phone (303) 407-0508

6895 E Hampden Ave
Denver, CO 80224
Phone (303) 861-7878

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13495/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pamela.engler.1@13495.direct.athenahealth.com
  • Direct secure messaging: pamela.engler.1@18365.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1679793178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD",
            "address_2": "STE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "303-218-7774",
            "fax_number": "303-660-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OAKWOOD PARK PLZ",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041887",
            "telephone_number": "303-688-0660",
            "fax_number": "303-660-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLER",
        "first_name": "PAMELA",
        "middle_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.