Individual provider Active NPI

Kirk Werner Prochnio, PA-C

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1861666489
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2474 Issued in CO
Practice address
2801 Youngfield St
Ste 150
Golden, CO 80401-2263
Phone
(303) 238-4277
Fax
(303) 238-4977
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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-2474 CO Primary

Addresses

Primary practice location

2801 Youngfield St
Ste 150
Golden, CO 80401-2263

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other identifiers 1

IdentifierTypeStateIssuer
PA-2474OtherCOCOLORADO LICENSURE

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
I20150319002019 CO Practitioner - Physician Assistant 3870810419 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
Group practices
Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 290
Colorado Springs, CO 80907-8722
Phone (719) 635-5148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2474COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Apr 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

2801 Youngfield St
Ste 150
Golden, CO 80401
Phone (303) 238-4277

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

Interoperability endpoints

  • Direct secure messaging: kprochnio120967@westdirect.optum.com

Organizations & group practices 6

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1861666489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "STE 150",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "303-238-4277",
            "fax_number": "303-238-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHNIO",
        "first_name": "KIRK",
        "middle_name": "WERNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-2474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSURE",
            "identifier": "PA-2474",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.