Individual provider Active NPI

Troy Paul Zupancic II, PA-C

  • Physician Assistant
  • La Junta, CO
National Provider Identifier
1770229395
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8822 Issued in CO
Practice address
1012 Belmont Ave
La Junta, CO 81050-2101
Phone
(719) 383-5500
NPI assigned
May 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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 8822 CO Primary

Addresses

Primary practice location

1012 Belmont Ave
La Junta, CO 81050-2101

Mailing address

1012 Belmont Ave
La Junta, CO 81050-2101
Phone (719) 383-5500

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
I20241031002896 CO Practitioner - Physician Assistant 6507399367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1012 Belmont Ave
La Junta, CO 81050-2101
Phone (719) 383-5900

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

711 Barnes Ave
La Junta, CO 81050-2138
Phone (719) 384-5446

721 Barnes Ave
La Junta, CO 81050-2138
Phone (719) 384-5446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8822COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley-Wide Health Systems, Inc CurrentSince Nov 4, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients

Locations

128 Market St
Alamosa, CO 81101
Phone (719) 587-1001

1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500

3676 Parker Blvd
Ste 350
Pueblo, CO 81008
Phone (719) 296-6000

3676 Parker Blvd
Ste 390
Pueblo, CO 81008
Phone (719) 595-7780

Interoperability endpoints

  • Direct secure messaging: troy.zupancic.p1@direct.vwhs.nextgenshare.com

Organizations & group practices 5

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 8

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1770229395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 BELMONT AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502101",
            "telephone_number": "719-383-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 BELMONT AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502101",
            "telephone_number": "719-383-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPANCIC",
        "first_name": "TROY",
        "middle_name": "PAUL",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "8822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.