Active NPI
Alexandria Pekarek, PA-C
- Physician Assistant
- Ft. Morgan, CO
National Provider Identifier
1689650574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- CO1130
- Practice address
- 1997 E. Platte Avenue, Suite B
Ft. Morgan, CO 80701 - Phone
- (970) 427-3130
- Fax
- (970) 867-2301
- NPI assigned
- Dec 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1130 | CO | |
| Physician Assistant | 363A00000X | CO1130 | CO | Primary |
Addresses
Primary practice location
1997 E. Platte Avenue, Suite B
Ft. Morgan, CO 80701
Mailing address
1997 E. Platte Avenue, Suite B
Ft. Morgan, CO 80701
Phone (970) 427-3130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18430848 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1130 | CO | MD | Physician Assistant |
| CO1130 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MH Health Care Services, PC | Past | Accepting new patients |
Interoperability endpoints
- alexandria.pekarek.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Fort Morgan, CO
- NPI 1598125262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1689650574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 E. PLATTE AVENUE, SUITE B",
"city": "FT. MORGAN",
"state": "CO",
"postal_code": "80701",
"telephone_number": "970-427-3130",
"fax_number": "970-867-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1997 E. PLATTE AVENUE, SUITE B",
"city": "FT. MORGAN",
"state": "CO",
"postal_code": "80701",
"telephone_number": "970-427-3130",
"fax_number": "970-867-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKAREK",
"first_name": "ALEXANDRIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1130",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "CO1130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18430848",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Morgan, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.