NPIMap

Individual provider Active NPI

Stacey L Buchan, PA-C

  • Medical Physician Assistant
  • Littleton, CO
National Provider Identifier
1841454147
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2597 Issued in CO
Practice address
7780 S Broadway Ste 350
Littleton, CO 80122
Phone
(720) 638-7500
Fax
(720) 583-6770
NPI assigned
Jul 15, 2008
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 2567 CO
Medical Physician Assistant 363AM0700X 2597 CO Primary

Addresses

Primary practice location

7780 S Broadway Ste 350
Littleton, CO 80122

Mailing address

PO Box 5693
Denver, CO 80217-5693
Phone (303) 306-7783

Other practice location 1

7720 S Broadway Ste 200
Littleton, CO 80122-2624
Phone (303) 738-1900

Other practice location 2

7780 S Broadway Ste 350
Littleton, CO 80122
Phone (720) 638-7500

Other names 1

  • Stacey L Josif Former name

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
I20090814000243 CO Practitioner - Physician Assistant 0840344545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7780 S Broadway
Littleton, CO 80122-2641

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2567COMDPhysician Assistant
2597COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery One PC CurrentSince Mar 1, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients
Neurosurgery One PC CurrentSince Mar 1, 2019 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

26 W Dry Creek Cir
Ste 390
Littleton, CO 80120
Phone (303) 738-1900

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

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 5

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1841454147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5693",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175693",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 S Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222624",
            "country_code": "US",
            "telephone_number": "303-738-1900",
            "fax_number": "303-738-1930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7780 S Broadway Ste 350",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "80122",
            "country_code": "US",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHAN",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2567",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "JOSIF",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.