NPIMap

Individual provider Active NPI

Aaron C Inouye, PA

  • Physician Assistant
  • Fruita, CO
National Provider Identifier
1811360670
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006149 Issued in CO
Practice address
401 Kokopelli Blvd
Fruita, CO 81521-3308
Phone
(970) 858-9894
Fax
(970) 858-1331
NPI assigned
Nov 2, 2015
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1406 ID
Physician Assistant 363A00000X PA.0006149 CO Primary

Addresses

Primary practice location

401 Kokopelli Blvd
Fruita, CO 81521-3308

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 540-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, 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
I20161201001936 ID Practitioner - Physician Assistant 2860772134 Reassigns benefits to 1 organization
I20200521001716 CO Practitioner - Physician Assistant 2860772134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

627 25
Grand Junction, CO 81505-6401
Phone (970) 242-3535

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Sep 11, 2023 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 3, 2025 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Oct 18, 2016 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 3, 2025 Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
Lower Valley Hospital Association Past Accepting new patients
Lower Valley Hospital Association Past Accepting new patients
Lower Valley Hospital Association Past Accepting new patients

Locations

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fl 2
Fruita, CO 81521

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

401 Kokopelli Blvd
Ste 3
Fruita, CO 81521
Phone (970) 200-1510

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

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, 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": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1811360670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KOKOPELLI BLVD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815213308",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 N Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Gooding",
            "state": "ID",
            "postal_code": "833305500",
            "country_code": "US",
            "telephone_number": "208-540-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INOUYE",
        "first_name": "AARON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1406",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.