NPIMap

Individual provider Active NPI

Trenton Stickney, PA-C

  • Surgical Physician Assistant
  • Boulder, CO
National Provider Identifier
1710458179
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0006080 Issued in CO
Practice address
4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone
(303) 938-5700
Fax
(303) 998-0007
NPI assigned
Dec 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0006080 CO
Physician Assistant 363A00000X PA.0006080 CO
Surgical Physician Assistant 363AS0400X PA.0006080 CO Primary

Addresses

Primary practice location

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Mailing address

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone (303) 938-5700

Other practice location 1

6423 S Beech Cir Apt 621
Littleton, CO 80127-5032
Phone (303) 653-2938

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
I20200113001031 CO Practitioner - Physician Assistant 2466887849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

90 Health Park Dr
Suite 350
Louisville, CO 80027-9742
Phone (303) 925-5068

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0006080COMDPhysician Assistant
PA.0006080COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Portercare Adventist Health System Single Specialty Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

90 Health Park Dr
Ste 350
Louisville, CO 80027
Phone (303) 666-7560

Interoperability endpoints

  • Direct secure messaging: tstickney1856587@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1710458179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6423 S Beech Cir Apt 621",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801275032",
            "country_code": "US",
            "telephone_number": "303-653-2938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKNEY",
        "first_name": "TRENTON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-11",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0006080",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006080",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0006080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.