Individual provider Active NPI

Joanne Teik, PA

  • Physician Assistant
  • Rifle, CO
National Provider Identifier
1851363345
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1400 Issued in CO
Practice address
501 Airport Rd
Rifle, CO 81650-8510
Phone
(970) 625-1100
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 1400 CO Primary

Addresses

Primary practice location

501 Airport Rd
Rifle, CO 81650-8510

Mailing address

2700 Gilstrap CT Ste 100
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840

Other practice location 1

230 Chapel Sq
Avon, CO 81620-6497
Phone (970) 945-2840

Other identifiers 1

IdentifierTypeStateIssuer
77555015MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051122000012 CO Practitioner - Physician Assistant 8123047941 Reassigns benefits to 3 organizations
I20250717003718 OR Practitioner - Physician Assistant 8123047941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians

Practice addresses (Care Compare)

10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984

11956 SW Garden PL
Tigard, OR 97223-8248
Phone (503) 684-8252

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

1662 NW 23Rd Ave
Portland, OR 97210-2502
Phone (864) 664-3984

3060 SE Hawthorne Blvd
Portland, OR 97214-4121
Phone (864) 664-3984

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1400COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Hospital District CurrentSince Dec 8, 2022 Accepting new patients
Grand River Hospital District Current Accepting new patients
Bend Memorial Clinic PC Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
Mountain Family Health Centers CurrentSince Feb 3, 2022 Accepting new patients
Bend Memorial Clinic PC CurrentSince Mar 1, 2026 Accepting new patients
Cardinal Pathology PC Current Accepting new patients
Grand River Hospital District CurrentSince Dec 8, 2022 Accepting new patients
Zoomcare PC Past Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Colorado Mountain Medical, PC Family Medicine PastSince Aug 1, 2008 Accepting new patients

Locations

230 Chapel Sq
#D102
Avon, CO 81620

320 Beard Creek Rd
Edwards, CO 81632
Phone (970) 479-7272

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

201 Sipprelle Dr
Parachute, CO 81635
Phone (970) 285-5731

195 W 14th St
Ste C
Rifle, CO 81650

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joanne.teik.1@30646.direct.athenahealth.com

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1851363345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILSTRAP CT STE 100",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018735",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Chapel Sq",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816206497",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEIK",
        "first_name": "JOANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77555015",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.