Individual provider Active NPI

Meagan Moulton, PA

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1790472280
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.9368 Issued in CO
Practice address
2555 S Downing St FL 1
Denver, CO 80210-5856
Phone
(303) 316-6677
Fax
(303) 316-5004
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 PA.9368 CO Primary

Addresses

Primary practice location

2555 S Downing St FL 1
Denver, CO 80210-5856

Mailing address

2555 S Downing St FL 1
Denver, CO 80210-5856
Phone (303) 316-6677

Other practice location 1

1180 Seton Pkwy
Kyle, TX 78640-6178
Phone (512) 862-1881

Other practice location 2

4613 Bee Caves Rd Ste 102
West Lake Hills, TX 78746-5206
Phone (512) 862-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231019003402 TX Practitioner - Physician Assistant 4789030248 Reassigns benefits to 1 organization
I20251003002061 CO Practitioner - Physician Assistant 4789030248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildflower Breast Center, PLLCGroup PAC ID 1153705108, 4 clinicians

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2555 S Downing St
240 Aah Cypress Denver
Denver, CO 80210-5855
Phone (303) 715-7030

2555 S Downing St 1St Floor
WHCC WH Cherry Creek
Denver, CO 80210-5855
Phone (303) 316-6677

2911 Medical Arts St
Suite 3
Austin, TX 78705-3302
Phone (512) 862-1881

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.9368COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 6, 2025 Accepting new patients
Porter Adventist Health System CurrentSince Oct 6, 2025 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2555 S Downing St
Fl 1
Denver, CO 80210
Phone (303) 316-6677

9695 S Yosemite St
Ste 359
Lone Tree, CO 80124
Phone (303) 825-8822

Interoperability endpoints

  • Direct secure messaging: mmoulton5609631@adventhealth.direct-ci.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 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1790472280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST FL 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105856",
            "telephone_number": "303-316-6677",
            "fax_number": "303-316-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST FL 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105856",
            "telephone_number": "303-316-6677",
            "fax_number": "303-316-5004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Seton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406178",
            "country_code": "US",
            "telephone_number": "512-862-1881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4613 Bee Caves Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465206",
            "country_code": "US",
            "telephone_number": "512-862-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "MEAGAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.9368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.