NPIMap

Individual provider Active NPI

Mollie Georgette Bailey, PA

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1841270055
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003978 Issued in CO
Practice address
3981 S Reservoir Rd Unit a
Aurora, CO 80013-3804
Phone
(303) 761-1977
Fax
(303) 789-7222
NPI assigned
Jan 23, 2006
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 PA.0003978 CO Primary

Addresses

Primary practice location

3981 S Reservoir Rd Unit a
Aurora, CO 80013-3804

Mailing address

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 360-6276

Other practice location 1

15501 E. 19th Ave.
Aurora, CO 80011
Phone (303) 343-6736

Other identifiers 1

IdentifierTypeStateIssuer
34235256MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203000812 CO Practitioner - Physician Assistant 0840264073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
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

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

13659 E 104TH Ave
Commerce City, CO 80022-9402
Phone (720) 506-5340

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0003978COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 28, 2024 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Sep 15, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Oct 28, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine Past Accepting new patients
Hamilton Community Health Network Inc. Past Accepting new patients
Vpa PC Family Medicine Past Accepting new patients

Locations

3981 S Reservoir Rd
Unit A
Aurora, CO 80013

2255 S Oneida St
Denver, CO 80224
Phone (303) 879-6681

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

3701 S Broadway
Englewood, CO 80113

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 7

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 4

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1841270055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 W 29TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800338002",
            "telephone_number": "303-360-6276",
            "fax_number": "303-761-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 S RESERVOIR RD UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133804",
            "telephone_number": "303-761-1977",
            "fax_number": "303-789-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15501 E. 19th Ave.",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80011",
            "country_code": "US",
            "telephone_number": "303-343-6736",
            "fax_number": "303-343-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MOLLIE",
        "middle_name": "GEORGETTE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34235256",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.