Aubrey Danell Pavlacka, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0005156 Issued in CO

Practice address

1000 Rush Dr
Salida, CO 81201-9627

Phone

(719) 530-2200

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Texas Tech University Health Science Center School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salida Hospital DistrictGroup PAC ID 3577451152, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322

Merit-based Incentive Payment System (MIPS)

Final score

75.69 of 100Reported as group

Quality

71.4

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Salida Hospital District

  dba Heart of the Rockies Regional Medical Center

  • Critical Access Hospital
  • Salida, CO
  • NPI 1730258971
  Medicare reassignment Care Compare group NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Medicare reassignment NPD
• Salida Hospital District

  • Internal Medicine Physician
  • Salida, CO
  • NPI 1972778272
  Medicare reassignment
• Salida Hospital District

  dba HRRMC Buena Vista Health Center

  • Rural Health Clinic/Center
  • Buena Vista, CO
  • NPI 1427395193
  NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Monte Vista Rural Health Clinic of Rio Grande Hospital

  • Rural Health Clinic/Center
  • Monte Vista, CO
  • NPI 1144777566
  NPD

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

• Salida Hospital District

  dba Heart of the Rockies Regional Medical Center

  • Critical Access Hospital
  • Salida, CO
  • NPI 1730258971
  Care Compare affiliation

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1760991459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "316-993-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 S Downing St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105890",
            "country_code": "US",
            "telephone_number": "316-993-9833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLACKA",
        "first_name": "AUBREY",
        "middle_name": "DANELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "painmanagement@HRRMCMedicalClinics.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Papathakis, LCSW
• Deborah Joan Papp, LCSW, LAC
• Clara Parker
• Tom L Parkes, RPH
• David Keith Patterson, MD
• Harry H Payton, D.O
• Ramon Matthew Perez, D.O
• Daniel Miller Perlman, M.D.
• Emma Pickup, DDS
• Pikes Peak Nephrology Associates PC

• Physician Assistant in Salida, CO
• Providers in Salida, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.

Verify at the official NPI Registry.