Individual provider Active NPI

Kaitlyn Beckham, PA-C

  • Medical Physician Assistant
  • Brighton, CO
National Provider Identifier
1700531506
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0007201 Issued in CO
Practice address
2801 Purcell St
Brighton, CO 80601-3551
Phone
(303) 659-9700
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0007201 CO Primary

Addresses

Primary practice location

2801 Purcell St
Brighton, CO 80601-3551

Mailing address

2801 Purcell St
Brighton, CO 80601-3551
Phone (303) 659-9700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411001063 CO Practitioner - Physician Assistant 5092101501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Medical Group Colorado PLLC 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

6311 E 14TH Ave
Denver, CO 80220-2821
Phone (303) 333-6434

Hospital & facility affiliations

  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
72.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0007201COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Redwood Medical LLC Past Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • Direct secure messaging: kaitlyn.beckham.1@4045.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1700531506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKHAM",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.