NPIMap

Individual provider Active NPI

Mariah Winter

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1730853581
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007044 Issued in CO
Practice address
403 Summit Blvd Unit 204
Broomfield, CO 80021-8253
Phone
(720) 401-2139
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 PA.0007044 CO Primary

Addresses

Primary practice location

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253

Mailing address

1939 Spruce CT
Erie, CO 80516-7977
Phone (720) 378-2227

Other practice location 1

1939 Spruce Ct
Erie, CO 80516-7977
Phone (720) 378-2227

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
I20211228000503 CO Practitioner - Physician Assistant 5092106161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Michael King MD PCGroup PAC ID 4183898877, 13 clinicians

Practice addresses (Care Compare)

1030 Johnson Rd
Suite 350
Golden, CO 80401-6053
Phone (720) 401-2139

403 Summit Blvd
Unit 204
Broomfield, CO 80021-8253
Phone (720) 401-2139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
71.78
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mariah.winter.1@3333.direct.athenahealth.com

Organizations & group practices 1

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1730853581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 SPRUCE CT",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167977",
            "telephone_number": "720-378-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218253",
            "telephone_number": "720-401-2139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1939 Spruce Ct",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805167977",
            "country_code": "US",
            "telephone_number": "720-378-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MARIAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.