Active NPI
Anne C Underhill, PA
- Medical Physician Assistant
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0000563
- Practice address
- 3027 N Circle Dr
Colorado Springs, CO 80909-1179 - Phone
- (719) 776-3216
- Fax
- (719) 776-3220
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0000563 | CO | Primary |
Addresses
Primary practice location
3027 N Circle Dr
Colorado Springs, CO 80909-1179
Mailing address
3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 776-3216
Other practice location 1
115 S Parkside Dr
Colorado Springs, CO 80910-3130
Phone (719) 447-4791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19870051 | Medicaid | CO |
Other names 1
- Ms. Anne K Caulk
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
Enrollment records 1
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
Practice addresses (Care Compare)
1263 Lake Plaza Dr
Suite 120
Colorado Springs, CO 80906-3510
Phone (719) 776-3330
17230 Jackson Creek Pkwy
Suite 120
Monument, CO 80132-7302
Phone (719) 571-7070
3027 N Circle Dr
Colorado Springs, CO 80909-1179
3245 E US Hwy 50 Unit E
Stmcc Urgent
Canon City, CO 81212-9343
Phone (719) 285-2888
41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780
5607 Barnes Rd
Suite 140
Colorado Springs, CO 80917-1347
Phone (719) 776-3851
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0000563 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Neurological Surgery Physician
- Westminster, CO
- NPI 1154067205
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1679850341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091179",
"telephone_number": "719-776-3216",
"fax_number": "719-776-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091179",
"telephone_number": "719-776-3216",
"fax_number": "719-776-3220"
}
],
"practiceLocations": [
{
"address_1": "115 S Parkside Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809103130",
"country_code": "US",
"telephone_number": "719-447-4791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNDERHILL",
"first_name": "ANNE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0000563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19870051",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "CAULK",
"middle_name": "K",
"prefix": "MS.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.