NPIMap

Individual provider Active NPI

Mikaela Eck, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1689415093
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8010 E Lowry Blvd Ste 230
Denver, CO 80230-7015
Phone
(303) 649-8998
NPI assigned
Jun 3, 2024
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8010 E Lowry Blvd Ste 230
Denver, CO 80230-7015

Mailing address

858 Quitman St
Denver, CO 80204-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214001793 CO Practitioner - Physician Assistant 1759811151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11960 Lioness Way
Parker, CO 80134-5640

1411 S Potomac St
350 Coc Arapahoe Sports Medicine and Rehab
Aurora, CO 80012-4543
Phone (303) 695-6060

6235 S Main St
Suite 101
Aurora, CO 80016-5373
Phone (303) 344-9090

8101 E Lowry Blvd
Denver, CO 80230-7195
Phone (303) 344-9090

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 13, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 13, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Feb 1, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Feb 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

6235 S Main St
Ste C101
Aurora, CO 80016

1830 N Franklin St
Ste 400
Denver, CO 80218
Phone (303) 253-7373

8101 E Lowry Blvd
Ste 230
Denver, CO 80230
Phone (303) 962-3926

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

11960 Lioness Way
Ste 260
Parker, CO 80134
Phone (303) 214-4500

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.

Hospital & facility affiliations 11

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1689415093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 QUITMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 E LOWRY BLVD STE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307015",
            "telephone_number": "303-649-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "MIKAELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.