Individual provider Active NPI

Erick Anderson, PA-C

  • Physician Assistant
  • Brighton, CO
National Provider Identifier
1922240803
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.003385 Issued in IL
Practice address
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone
(303) 498-1910
NPI assigned
Mar 24, 2009
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 085.003385 IL Primary

Addresses

Primary practice location

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Mailing address

12753 W Bowles PL
Littleton, CO 80127-4619
Phone (309) 643-0894

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
I20161004000038 CO Practitioner - Physician Assistant 0446374193 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.003385ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 17, 2022 Accepting new patients
Kit Carson County Health Services District CurrentSince Jul 1, 2025 Accepting new patients
Kit Carson County Health Services District CurrentSince Jul 1, 2025 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Jan 1, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Nov 17, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jan 1, 2018 Accepting new patients
Comprehensive Emergency Solutions SC Emergency Medicine Past Accepting new patients
Workwellness Inc PastSince Nov 7, 2015 Accepting new patients
Platte Valley Medical Group LLC Past Accepting new patients

Locations

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

8900 E 46th Pl
Denver, CO 80238
Phone (303) 403-6300

1450 Dexter St
Ste 102
Fort Lupton, CO 80621
Phone (303) 857-7873

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-4122

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1922240803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12753 W BOWLES PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274619",
            "telephone_number": "309-643-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-498-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.