NPIMap

Individual provider Active NPI

Stephane Cosby Rainsong, PA-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1700510377
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0007436 Issued in CO
Practice address
3655 E 104TH Ave Unit a
Thornton, CO 80233-6136
Phone
(303) 254-8500
Fax
(303) 453-4994
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 PA0007436 CO Primary

Addresses

Primary practice location

3655 E 104TH Ave Unit a
Thornton, CO 80233-6136

Mailing address

1117 Centennial Rd
Fort Collins, CO 80525-2353
Phone (760) 567-8793

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
I20220922003652 CO Practitioner - Physician Assistant 0840675146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

3655 E 104TH Ave
Unit a
Thornton, CO 80233-6136
Phone (303) 254-8500

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0007436COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Family Medicine CurrentSince Sep 6, 2022 Accepting new patients

Locations

3655 E 104th Ave
Thornton, CO 80233
Phone (303) 254-8500

3655 E 104th Ave
Unit A
Thornton, CO 80233
Phone (303) 254-8500

Interoperability endpoints

  • Direct secure messaging: stephane.rainsong.1@14940.direct.athenahealth.com

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1700510377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 CENTENNIAL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252353",
            "telephone_number": "760-567-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE UNIT A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802336136",
            "telephone_number": "303-254-8500",
            "fax_number": "303-453-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINSONG",
        "first_name": "STEPHANE",
        "middle_name": "COSBY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0007436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.