Robert Aaron Prevatt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005239 Issued in CO

Practice address

2465 S Downing St Ste 110
Denver, CO 80210-5822

Phone

(303) 778-5774

Fax

(303) 778-2436

NPI assigned

Sep 4, 2012

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2013

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)

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

78.58

Promoting interoperability

100

Improvement activities

40

Cost

74.61

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rprevatt1870165@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  Medicare reassignment Care Compare group
• Portercare Adventist Health System

  dba Adventhealth Porter

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Urology at Lakewood

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Autism Allies, LLC

  • Clinic/Center
  • Northglenn, CO
  • NPI 1154853802
  NPD (past)
• Colorado Psychiatry Center, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Northglenn, CO
  • NPI 1225267883
  NPD (past)

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1780933978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801106",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801106",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S DOWNING ST STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105822",
            "telephone_number": "303-778-5774",
            "fax_number": "303-778-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11154 Huron St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802342329",
            "country_code": "US",
            "telephone_number": "303-920-5161",
            "fax_number": "303-452-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1536 Cole Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804013426",
            "country_code": "US",
            "telephone_number": "303-920-5161",
            "fax_number": "303-452-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Inverness Cir E Unit J105",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125527",
            "country_code": "US",
            "telephone_number": "303-799-1600",
            "fax_number": "303-452-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "ROBERT",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005239",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Preston, LPCC
• Melissa Claire Preston, MA, NCC, RD
• Scott William Preston, RN
• Paris Prestridge, ND
• Janis Prettitore
• Philip Thomas Prewitt, LPC
• Scott Prewitt, DPT
• Peter Pribula, DMD
• Matthew Corey Pribyl, PT, DPT
• Pricare Health PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.