NPIMap

Individual provider Active NPI

Lauren Philmus

  • Physician Assistant
  • Avon, CO
National Provider Identifier
1922577527
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Nov 13, 2018
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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 NU Primary

Addresses

Primary practice location

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (970) 926-6340

Other practice location 1

107 JFK Dr Ste B
Atlantis, FL 33462-1153
Phone (561) 295-6962

Other practice location 2

195 W 14th Ste C
Rifle, CO 81650-4717
Phone (970) 945-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001736 CO Practitioner - Physician Assistant 0749528677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

180 S Frontage Rd W
Suite 5800
Vail, CO 81657-5038
Phone (970) 926-6340

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 926-6340

50 Buck Creek Rd
Avon, CO 81620-5428

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC CurrentSince Sep 14, 2021 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Sep 14, 2021 Accepting new patients
Colorado Mountain Medical, PC Family Medicine Past Accepting new patients
Independent Multispecialty Group of Florida LLC PastSince Jan 31, 2026 Accepting new patients
Medical Specialists of the Palm Beaches Inc Past Accepting new patients
Medical Specialists of the Palm Beaches Inc Family Medicine Past Accepting new patients

Locations

377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1922577527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BUCK CREEK RD STE 100",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205428",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 JFK Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621153",
            "country_code": "US",
            "telephone_number": "561-295-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 W 14th Ste C",
            "address_purpose": "LOCATION",
            "city": "Rifle",
            "state": "CO",
            "postal_code": "816504717",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILMUS",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CO

Sources for this page

Verify at the official NPI Registry.