Individual provider Active NPI

Colleen Katherine Wuellner, PA-C

  • Physician Assistant
  • Littleton, CO
National Provider Identifier
1871720409
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3437 Issued in CO
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

Updated by the provider on Oct 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
810542541OtherCOMMERCIAL

Other names 1

  • Colleen Katherine Stuckey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, CO2 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
I20090917000495 MT Practitioner - Physician Assistant 0840346748 Reassigns benefits to 1 organization
I20220831001375 CO Practitioner - Physician Assistant 0840346748 Reassigns benefits to 3 organizations

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
Urgent Care Lakewood IncGroup PAC ID 9739486374, 24 clinicians
Westmed Primary CareGroup PAC ID 3678464740, 6 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
3437COMDPhysician Assistant
572MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Lakewood Inc CurrentSince Feb 12, 2024 Accepting new patients
Westmed Primary Care CurrentSince Feb 5, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.