Individual provider Active NPI

Ava Graszl, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1699382846
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 S Jackson St Ste 240
Denver, CO 80209-3131
Phone
(720) 724-3668
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 S Jackson St Ste 240
Denver, CO 80209-3131

Mailing address

163 Little York Mount Pleasant Rd
Milford, NJ 08848-2157
Phone (908) 528-6748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317000746 CO Practitioner - Physician Assistant 3577979525

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Wellness Associates CurrentSince Aug 25, 2024 Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients

Locations

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1699382846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LITTLE YORK MOUNT PLEASANT RD",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088482157",
            "telephone_number": "908-528-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "720-724-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASZL",
        "first_name": "AVA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "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.