Individual provider Active NPI

James Amettis, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1851784326
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004181 Issued in CO
Practice address
3801 E Florida Ave Ste 300
Denver, CO 80210-2571
Phone
(303) 388-4256
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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.0004181 CO Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 300
Denver, CO 80210-2571

Mailing address

PO Box 17982
Belfast, ME 04915-4074
Phone (303) 388-4256

Other practice location 1

9785 Maroon Cir Ste G104
Englewood, CO 80112-5922
Phone (303) 779-1172

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
I20151201000556 CO Practitioner - Physician Assistant 0648570432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.0004181COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Pediatrics, P.C. CurrentSince Nov 12, 2023 Accepting new patients
Partners in Pediatrics, P.C. CurrentSince Nov 22, 2020 Accepting new patients

Locations

3801 E Florida Ave
Ste 300
Denver, CO 80210
Phone (303) 388-4256

919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256

9785 Maroon Cir
Ste G104
Englewood, CO 80112
Phone 3037791172 ext. 114

Interoperability endpoints

  • Direct secure messaging: amettis.james.1@13728.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1851784326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17982",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154074",
            "telephone_number": "303-388-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102571",
            "telephone_number": "303-388-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9785 Maroon Cir Ste G104",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125922",
            "country_code": "US",
            "telephone_number": "303-779-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMETTIS",
        "first_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.