NPIMap

Individual provider Active NPI

Rachael K Wymer, PA

  • Physician Assistant
  • Basalt, CO
National Provider Identifier
1780853085
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2922 Issued in CO
Practice address
1450 E Valley Rd
Suite 201
Basalt, CO 81621-8304
Phone
(970) 927-8611
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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 085-003184 IL
Physician Assistant 363A00000X 2922 CO Primary

Addresses

Primary practice location

1450 E Valley Rd
Suite 201
Basalt, CO 81621-8304

Mailing address

100 E Main St
Suite 101
Aspen, CO 81611-1780
Phone (970) 925-4141

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
I20091221000405 CO Practitioner - Physician Assistant 5092890830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, shared by 23 NPIs, 205 clinicians

Practice addresses (Care Compare)

132 W Main St
Suite a
Aspen, CO 81611-1713

1450 E Valley Rd
Unit 202
Basalt, CO 81621-8352
Phone (970) 384-6940

1906 Blake Ave
Glenwood SPGS, CO 81601-4227

1906 Blake Ave
Glenwood SPGS, CO 81601-4259

350 Market St
Basalt, CO 81621-7403

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2922COMDSports Physician Chiropractor
085-003184ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Valley View Hospital Association CurrentSince Jun 12, 2023 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Radiology Imaging Associates, PC Past Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1450 E Valley Rd
Unit 201
Basalt, CO 81621
Phone (970) 927-1757

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: rachael.wymer.1@9028.direct.athenahealth.com

Organizations & group practices 9

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 6

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1780853085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111780",
            "telephone_number": "970-925-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-927-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMER",
        "first_name": "RACHAEL",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-003184",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.