NPIMap

Individual provider Active NPI

Daniella Marie Deperi, PA-C

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1750553152
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007924 Issued in CO
Practice address
3726 S Timberline Rd Ste 101
Fort Collins, CO 80525-4332
Phone
(970) 221-5795
Fax
(970) 221-1371
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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.0007924 CO Primary

Addresses

Primary practice location

3726 S Timberline Rd Ste 101
Fort Collins, CO 80525-4332

Mailing address

2918 S Timberline Rd Apt 5-201
Fort Collins, CO 80525-4682
Phone (854) 444-9702

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
I20230620001722 CO Practitioner - Physician Assistant 6204914583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cathedral Cardiac Specialists, PC Past Accepting new patients
Center for Vein Restoration NJ LLC Past Accepting new patients
Gastroenterology Associates of New Jersey, LLC PastSince Apr 1, 2019 Accepting new patients
Dermatology and Skin Cancer Center of South Carolina PC PastSince Mar 10, 2015 Accepting new patients
Dermatology of Northern Colorado P.C. PastSince Mar 11, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danielledeperi@jacmdllc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJIGAA

Organizations & group practices 6

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1750553152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 S TIMBERLINE RD APT 5-201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254682",
            "telephone_number": "854-444-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 S TIMBERLINE RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254332",
            "telephone_number": "970-221-5795",
            "fax_number": "970-221-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPERI",
        "first_name": "DANIELLA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.