Active NPI
Andrea J Bieganski, P.A.
- Physician Assistant
- Fort Collins, CO
National Provider Identifier
1801883525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0002234
- Practice address
- 2001 S Shields St BLDG E
Fort Collins, CO 80526-1827 - Phone
- (970) 493-5334
- Fax
- (970) 493-3727
- NPI assigned
- Sep 29, 2005
- Last updated
- Oct 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0002234 | CO | Primary |
| Surgical Physician Assistant | 363AS0400X | 1001 | NE |
Addresses
Primary practice location
2001 S Shields St BLDG E
Fort Collins, CO 80526-1827
Mailing address
2001 S Shields St BLDG E
Fort Collins, CO 80526-1827
Phone (970) 493-5334
Other practice location 1
1120 E Elizabeth St # F-101
Fort Collins, CO 80524-4044
Phone (970) 221-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0002234 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba UCHealth Medical Group
- Family Medicine Physician
- Fort Collins, CO
- NPI 1578238663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1801883525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S SHIELDS ST BLDG E",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261827",
"telephone_number": "970-493-5334",
"fax_number": "970-493-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S SHIELDS ST BLDG E",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261827",
"telephone_number": "970-493-5334",
"fax_number": "970-493-3727"
}
],
"practiceLocations": [
{
"address_1": "1120 E Elizabeth St # F-101",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805244044",
"country_code": "US",
"telephone_number": "970-221-1177",
"fax_number": "970-484-5990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIEGANSKI",
"first_name": "ANDREA",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0002234",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NE",
"license": "1001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
- Beyond the Table Nutrition Therapy
- BHG LX LLC (BHG Medical Services - Colorado)
- BHG Xxxii, LLC (BHG Fort Collins Treatment Center)
- Kelly Elizabeth Bianchi, PA
- Sophia Bickford
- John Biesendorfer, PHARMD
- Big Grins PC
- Big Thompson Medical Group Inc.
- Big Thompson Medical Group Inc.
- Alison Anne Biggs, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.