Active NPI
Colleen Katherine Wuellner, PA-C
- Physician Assistant
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3437
- Practice address
- 6169 S. Balsam Way
Ste #220
Littleton, CO 80123 - Phone
- (303) 963-0566
- Fax
- (303) 972-1293
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 572 | MT | |
| Physician Assistant | 363A00000X | 3437 | CO | Primary |
Addresses
Primary practice location
6169 S. Balsam Way
Ste #220
Littleton, CO 80123
Mailing address
1707 Cole Blvd.
Ste #100
Golden, CO 80401
Phone (303) 716-8018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810542541 | Other | COMMERCIAL |
Other names 1
- Colleen Katherine Stuckey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12105 W Alameda Pkwy
Suite 100
Lakewood, CO 80228-2832
Phone (303) 988-3600
12201 Pecos St
Suite 500
Westminster, CO 80234-3995
Phone (303) 457-4497
2616 E 120TH Ave
Afc Urgent Care Thornton
Thornton, CO 80233-1412
Phone (720) 751-2910
6335 Sheridan Blvd
Arvada, CO 80003-5231
Phone (720) 502-0466
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3437 | CO | MD | Physician Assistant |
| 572 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Lakewood Inc | Current | Accepting new patients | |
| Westmed Primary Care | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
12105 W Alameda Pkwy
Ste 100
Lakewood, CO 80228
Phone (303) 988-3600
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
9670 W Coal Mine Ave
Ste 200
Littleton, CO 80123
Phone (303) 392-2121
12201 Pecos St
Ste 500
Westminster, CO 80234
Phone (303) 457-4497
8601 Turnpike Dr
Unit 200
Westminster, CO 80031
Phone (303) 428-7449
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Lakewood, CO
- NPI 1902263908
-
- Family Medicine Physician
- Westminster, CO
- NPI 1154357176
-
- Family Medicine Physician
- Parker, CO
- NPI 1356952642
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665273600000",
"number": "1871720409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 COLE BLVD.",
"address_2": "STE #100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "80401",
"telephone_number": "303-716-8018",
"fax_number": "303-763-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 S. BALSAM WAY",
"address_2": "STE #220",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-963-0566",
"fax_number": "303-972-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUELLNER",
"first_name": "COLLEEN",
"middle_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "572",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "810542541",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "STUCKEY",
"middle_name": "KATHERINE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.