Individual provider Active NPI

Laura A Maugel, PA-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1861675092
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2528 Issued in CO
Practice address
2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4404
Phone
(303) 452-2766
Fax
(303) 252-8694
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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 2528 CO Primary

Addresses

Primary practice location

2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4404

Mailing address

2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4404
Phone (303) 452-2766

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
I20120918000168 CO Practitioner - Physician Assistant 0345498374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2528COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC CurrentSince Mar 6, 2019 Accepting new patients

Locations

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

2200 E 104th Ave
Ste 115
Thornton, CO 80233
Phone (303) 452-2766

Interoperability endpoints

  • Direct secure messaging: lauramaugel@cpp.allscriptsdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1861675092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E 104TH AVE",
            "address_2": "SUITE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334404",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 104TH AVE",
            "address_2": "SUITE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334404",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGEL",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.