NPIMap

Individual provider Active NPI

Dawanda R Pesicka, PA-C

  • Surgical Physician Assistant
  • Aurora, CO
National Provider Identifier
1801848874
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0002983 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004567 WA
Surgical Physician Assistant 363AS0400X 10721 MN
Surgical Physician Assistant 363AS0400X PA.0002983 CO Primary
Medical Physician Assistant 363AM0700X PA.0002983 CO
Surgical Physician Assistant 363AS0400X PA10004567 WA

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

1100 9th Ave
Ms:X8-GYN
Seattle, WA 98101-2756
Phone (206) 223-6191

Other practice location 2

1101 Madison St Ste 1150
Seattle, WA 98104-3558
Phone (206) 386-3400

Other practice location 3

6031 E Woodmen Rd Ste 250Go
Colorado Springs, CO 80923-2623
Phone (719) 571-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000436 WA Practitioner - Physician Assistant 7416940234 Reassigns benefits to 2 organizations
I20111107000393 CO Practitioner - Physician Assistant 7416940234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0002983COMDMedical Physician Assistant
PA10004567WAMDSurgical Physician Assistant
10721MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center CurrentSince Dec 18, 2015 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 18, 2015 Accepting new patients
University Physicians, Incorporated CurrentSince Dec 1, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Jul 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Jul 1, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Dec 1, 2023 Accepting new patients
Pacific Gynecology Specialists, PC Past Accepting new patients
Pacific Gynecology Specialists, PC Past Accepting new patients
University Physicians Incorporated Physician Assistant Past Accepting new patients

Locations

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

1100 9th Ave
Stop X8OB
Seattle, WA 98101

1101 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-3400

1100 9th Ave
#8
Seattle, WA 98101
Phone (206) 223-6762

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

1100 9th Ave
#4
Seattle, WA 98101
Phone (206) 515-5811

Interoperability endpoints

  • Direct secure messaging: dawanda.pesicka@direct.vmmc.org

Organizations & group practices 11

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1801848874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 9th Ave",
            "address_2": "MS:X8-GYN",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012756",
            "country_code": "US",
            "telephone_number": "206-223-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Madison St Ste 1150",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043558",
            "country_code": "US",
            "telephone_number": "206-386-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 E Woodmen Rd Ste 250Go",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232623",
            "country_code": "US",
            "telephone_number": "719-571-8660",
            "fax_number": "719-571-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESICKA",
        "first_name": "DAWANDA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004567",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "10721",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0002983",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0002983",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10004567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.