Active NPI
Kaitlyn Beckham, PA-C
- Medical Physician Assistant
- Brighton, CO
National Provider Identifier
1700531506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0007201
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0007201 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New 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
- https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
- kaitlyn.beckham.1@4045.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Brighton, CO
- NPI 1477667244
-
- Family Medicine Physician
- Aurora, CO
- NPI 1487343075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.