NPIMap

Individual provider Active NPI

Ryan Winkelhorst, PA-C

  • Physician Assistant
  • Avon, CO
National Provider Identifier
1790028884
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0003614 Issued in CO
Practice address
50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 0003614 CO Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340

Other practice location 1

11245 Huron St
Westminster, CO 80234-2806
Phone (303) 338-4545

Other practice location 2

311 Steele St
Denver, CO 80206-4479
Phone (303) 372-4010

Other identifiers 2

IdentifierTypeStateIssuer
024504OtherCOKAISER COMMERCIAL NUMBER
19023731MedicaidCO

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
I20130813000796 CO Practitioner - Physician Assistant 0941442461 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

1600 Mid Valley Dr
Unit a
Steamboat Springs, CO 80487-9006
Phone (970) 879-1322

180 S Frontage Rd W
Suite 5800
Vail, CO 81657-5038
Phone (970) 926-6340

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 926-6340

2305 Mount Werner Cir
Suite P.027
Steamboat Springs, CO 80487-9023
Phone (970) 871-8038

365 Dillon Ridge Rd
Dillon, CO 80435-6344

50 Buck Creek Rd
Avon, CO 81620-5428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003614COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince May 19, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Dec 1, 2021 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 30, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 30, 2019 Accepting new patients
Yampa Valley Medical Center CurrentSince May 19, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Dec 1, 2021 Accepting new patients
Urgent Care Solutions, Glendale, PC CurrentSince Sep 1, 2019 Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients
Yampa Valley Medical Center PastSince Aug 1, 2022 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

15240 W 64th Ave
Arvada, CO 80007
Phone (303) 463-7180

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

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

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

2305 Mount Werner Cir
Ste P27
Steamboat Springs, CO 80487
Phone (970) 871-8038

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (855) 945-3668

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1790028884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 100",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11245 Huron St",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342806",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Steele St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064479",
            "country_code": "US",
            "telephone_number": "303-372-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKELHORST",
        "first_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0003614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "024504",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19023731",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.