Active NPI
Noel K Kiley, PA
- Physician Assistant
- Aurora, CO
National Provider Identifier
1922140763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1654
- Practice address
- 3033 S Parker Rd
Ste 800
Aurora, CO 80014-2910 - Phone
- (303) 306-7783
- Fax
- (303) 306-7753
- NPI assigned
- Feb 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1654 | CO | Primary |
Addresses
Primary practice location
3033 S Parker Rd
Ste 800
Aurora, CO 80014-2910
Mailing address
3033 S Parker Rd
Ste 800
Aurora, CO 80014-2910
Phone (303) 306-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11685883 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1654 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Platte Valley Medical Group, LLC | Current | Accepting new patients | |
| Longs Peak Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
Locations
4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885
1450 Dexter St
Ste 102
Fort Lupton, CO 80621
Phone (303) 857-7873
1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Brighton, CO
- NPI 1922812593
-
- Emergency Medicine Physician
- Brighton, CO
- NPI 1639454242
-
- Obstetrics & Gynecology Physician
- Brighton, CO
- NPI 1780208066
-
- Emergency Medicine Physician
- Longmont, CO
- NPI 1215910146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922140763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 S PARKER RD",
"address_2": "STE 800",
"city": "AURORA",
"state": "CO",
"postal_code": "800142910",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 S PARKER RD",
"address_2": "STE 800",
"city": "AURORA",
"state": "CO",
"postal_code": "800142910",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILEY",
"first_name": "NOEL",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11685883",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.