Individual provider Active NPI

Aaron David Stern

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1821668492
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14300 Waterside LN Unit B5
Broomfield, CO 80023-4541
Phone
(720) 339-1796
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 Primary

Addresses

Primary practice location

14300 Waterside LN Unit B5
Broomfield, CO 80023-4541

Mailing address

14300 Waterside LN Unit B5
Broomfield, CO 80023-4541
Phone (720) 339-1796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220309000685 CO Practitioner - Physician Assistant 1759775745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Spine West a Professional LLCGroup PAC ID 0749264968, 9 clinicians

Practice addresses (Care Compare)

3434 47TH St
Suite 107
Boulder, CO 80301-1817
Phone (303) 376-0184

3555 Lutheran Pkwy
Suite 210
Wheat Ridge, CO 80033-6037
Phone (303) 494-7773

5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4283
Phone (303) 494-7773

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Medical Center, P.C. CurrentSince Feb 2, 2022 Accepting new patients
Boulder Medical Center, P.C. CurrentSince Feb 2, 2022 Accepting new patients

Locations

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

Organizations & group practices 4

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1821668492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 WATERSIDE LN UNIT B5",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234541",
            "telephone_number": "720-339-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 WATERSIDE LN UNIT B5",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234541",
            "telephone_number": "720-339-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.