Individual provider Active NPI

Stephanie Flores, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1891259461
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005580 Issued in CO
Practice address
4995 E 33Rd Ave
Denver, CO 80207-1902
Phone
(303) 602-3720
Fax
(303) 602-3733
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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.0005580 CO Primary

Addresses

Primary practice location

4995 E 33Rd Ave
Denver, CO 80207-1902

Mailing address

4995 E 33Rd Ave
Denver, CO 80207-1902
Phone (303) 602-3720

Other identifiers 1

IdentifierTypeStateIssuer
0MedicaidCO

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
I20190307001875 CO Practitioner - Physician Assistant 2466791553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

Denver, CO 80202
Phone (720) 728-5170

7780 S Broadway
Suite 100
Littleton, CO 80122-2633
Phone (303) 798-9996

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005580COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

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

7780 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 798-9996

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

Interoperability endpoints

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

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.

Hospital & facility affiliations 3

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891259461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 E 33RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071902",
            "telephone_number": "303-602-3720",
            "fax_number": "303-602-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 E 33RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071902",
            "telephone_number": "303-602-3720",
            "fax_number": "303-602-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.