Individual provider Active NPI

Sharon Lynn Brodbelt, PA-C

  • Physician Assistant
  • Naturita, CO
National Provider Identifier
1821393166
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003150 Issued in CO
Practice address
421 Adams St
Naturita, CO 81422-5018
Phone
(970) 865-2665
Fax
(970) 865-2674
NPI assigned
Jan 18, 2011
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 PA55418 CA
Physician Assistant 363A00000X PA1789 NV
Physician Assistant 363A00000X 8514 AZ
Medical Physician Assistant 363AM0700X PA.0003150 CO
Physician Assistant 363A00000X PA.0003150 CO Primary

Addresses

Primary practice location

421 Adams St
Naturita, CO 81422-5018

Mailing address

PO Box 340
Naturita, CO 81422-0340
Phone (970) 865-2665

Other practice location 1

68 School Rd, Ste 200
Frisco, CO 80443
Phone (970) 668-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV, CA, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110525000107 CO Practitioner - Physician Assistant 4981880093 Reassigns benefits to 3 organizations
I20170126000856 NV Practitioner - Physician Assistant 4981880093
I20190215001936 CA Practitioner - Physician Assistant 4981880093 Reassigns benefits to 2 organizations
I20210527001616 AZ Practitioner - Physician Assistant 4981880093 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55418CAMDPharmacist
PA.0003150COMDPhysician Assistant
PA1789NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Regional Mental Health, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Delta County Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Delta County Memorial Hospital CurrentSince Apr 1, 2023 Accepting new patients
Colorado West Regional Mental Health, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Mountain Radiology, Inc PastSince Jun 26, 2022 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1821393166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814220340",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ADAMS ST",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814225018",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 School Rd, Ste 200",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-668-2510",
            "fax_number": "970-668-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODBELT",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55418",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1789",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8514",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003150",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naturita, CO

Sources for this page

Verify at the official NPI Registry.