Individual provider Active NPI

Colleen Rose Spargur, PA-C

  • Medical Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1922316017
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6697 Issued in AZ
Practice address
740 N Estrella Pkwy Ste 100
Goodyear, AZ 85338-9357
Phone
(623) 321-5079
Fax
(623) 321-5083
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6697 AZ Primary

Addresses

Primary practice location

740 N Estrella Pkwy Ste 100
Goodyear, AZ 85338-9357

Mailing address

740 N Estrella Pkwy Ste 100
Goodyear, AZ 85338-9357
Phone (623) 321-5079

Other names 1

  • Colleen Rose Baldwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170724002237 AZ Practitioner - Physician Assistant 5092966457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zona Spine and Pain, LLCGroup PAC ID 8325344815, 2 clinicians

Practice addresses (Care Compare)

740 N Estrella Pkwy
Suite 100
Goodyear, AZ 85338-9357
Phone (623) 321-5079

750 N Estrella Pkwy
Suite 60
Goodyear, AZ 85338-9279
Phone (623) 321-5079

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6697AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Urology Associates PLLC Urology Current Accepting new patients

Locations

2500 Racquet Ln
#100
Yakima, WA 98902
Phone (509) 249-3900

Interoperability endpoints

  • Direct secure messaging: colleenspargur@yua.medalliesdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1922316017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N ESTRELLA PKWY STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389357",
            "telephone_number": "623-321-5079",
            "fax_number": "623-321-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N ESTRELLA PKWY STE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389357",
            "telephone_number": "623-321-5079",
            "fax_number": "623-321-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARGUR",
        "first_name": "COLLEEN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "BALDWIN",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.