Active NPI
Adam Michael Mabry, PA
- Physician Assistant
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006850
- Practice address
- 1610 Dry Creek Dr
Longmont, CO 80503-6405 - Phone
- (303) 772-1600
- Fax
- (303) 772-9317
- NPI assigned
- Aug 25, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0006850 | CO | Primary |
Addresses
Primary practice location
1610 Dry Creek Dr
Longmont, CO 80503-6405
Mailing address
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112
Other practice location 1
13559 Huron St Ste 201
Westminster, CO 80234-1163
Phone (303) 772-1600
Other practice location 2
300 Exempla Cir Ste 200
Lafayette, CO 80026-3391
Phone (303) 772-1600
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0000
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-7000
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111
200 Exempla Cir
Lafayette, CO 80026-3370
Phone (303) 689-4000
2420 E Prospect Rd
Fort Collins MRI
Fort Collins, CO 80525-9718
Phone (970) 493-0567
2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-4010
4743 Arapahoe Ave
Suite 202
Boulder, CO 80303-1128
Phone (303) 415-4101
Hospital & facility affiliations
- Boulder Community Health
- Good Samaritan Medical Center LLC
- Longs Peak Hospital
- Longmont United Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.72 of 100
- Quality
- 70.39
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 69.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006850 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients |
Locations
4743 Arapahoe Ave
Ste 202
Boulder, CO 80303
Phone (303) 938-5700
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Boulder, CO
- NPI 1821074196
-
- Orthopaedic Surgery Physician
- Fort Collins, CO
- NPI 1770579385
-
- Medical Specialty Clinic/Center
- Erie, CO
- NPI 1386226967
-
- Primary Care Clinic/Center
- Boulder, CO
- NPI 1740837137
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1700303229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E PROSPECT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259718",
"telephone_number": "970-493-0112",
"fax_number": "970-493-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036405",
"telephone_number": "303-772-1600",
"fax_number": "303-772-9317"
}
],
"practiceLocations": [
{
"address_1": "13559 Huron St Ste 201",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802341163",
"country_code": "US",
"telephone_number": "303-772-1600",
"fax_number": "303-772-9317",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Exempla Cir Ste 200",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800263391",
"country_code": "US",
"telephone_number": "303-772-1600",
"fax_number": "303-772-9317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABRY",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0006850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.