Individual provider Active NPI

Yuliya Y Rivas, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1750119913
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.8985 Issued in CO
Practice address
12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone
(720) 638-7500
Fax
(720) 812-5134
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.8985 CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035

Mailing address

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone (720) 638-7500

Other practice location 1

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone (303) 551-4156

Other names 1

  • Yuliya Y Mezentseva Former name

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
I20250221003175 CO Practitioner - Physician Assistant 7719407618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

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

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-8900

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 24, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

850 E Harvard Ave
Ste 125
Denver, CO 80210
Phone (303) 282-4441

850 E Harvard Ave
Ste 305
Denver, CO 80210
Phone (303) 778-5910

12596 W Bayaud Ave
Ste 100
Lakewood, CO 80228
Phone (303) 551-4156

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

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 4

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1750119913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282035",
            "telephone_number": "720-638-7500",
            "fax_number": "720-812-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282035",
            "telephone_number": "720-638-7500",
            "fax_number": "720-812-5134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12596 W Bayaud Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282035",
            "country_code": "US",
            "telephone_number": "303-551-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "YULIYA",
        "middle_name": "Y",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YULIYA",
            "last_name": "MEZENTSEVA",
            "middle_name": "Y",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.