Individual provider Active NPI

Angela Michelle Blevins, PA-C

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1902564388
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA.0007154 Issued in CO
Practice address
9251 S 20 Mile Rd
Parker, CO 80134-4980
Phone
(303) 344-9090
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA.0007154 CO Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

9251 S 20 Mile Rd
Parker, CO 80134-4980

Mailing address

9251 S 20 Mile Rd
Parker, CO 80134-4980

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
I20240409000171 CO Practitioner - Physician Assistant 5496193617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bender Medical Group IncGroup PAC ID 6204725575, 7 clinicians
Urgent Care Centennial PCGroup PAC ID 0547384547, 10 clinicians

Practice addresses (Care Compare)

313 W Drake Rd
Suite 100
Fort Collins, CO 80526-2866
Phone (970) 482-8881

8006 E Arapahoe Rd
Unit 100
Centennial, CO 80112-6814
Phone (303) 220-9168

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0007154COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy Center, P.C. Single Specialty Past Accepting new patients

Organizations & group practices 3

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 6

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1902564388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 S 20 MILE RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 S 20 MILE RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344980",
            "telephone_number": "303-344-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "PA.0007154",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.