Individual provider Active NPI

Caroline Stone Whalen

  • Physician Assistant
  • Frisco, CO
National Provider Identifier
1932667490
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005835 Issued in CO
Practice address
18 School Rd
Ste 125
Frisco, CO 80443-4790
Phone
(970) 668-2510
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 PA.0005835 CO Primary

Addresses

Primary practice location

18 School Rd
Ste 125
Frisco, CO 80443-4790

Mailing address

18 School Rd
Ste 125
Frisco, CO 80443-4790
Phone (970) 668-2510

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
I20200608000112 CO Practitioner - Physician Assistant 7719308378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
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

377 Sylvan Lake Rd
Eagle, CO 81631-6779
Phone (970) 926-6350

50 Buck Creek Rd
Avon, CO 81620-5428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0005835COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC CurrentSince Aug 17, 2019 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Aug 17, 2019 Accepting new patients
Colorado Mountain Medical, LLC PastSince Sep 8, 2019 Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients

Locations

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

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

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

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.

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1932667490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SCHOOL RD",
            "address_2": "STE 125",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434790",
            "telephone_number": "970-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SCHOOL RD",
            "address_2": "STE 125",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434790",
            "telephone_number": "970-668-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "CAROLINE",
        "middle_name": "STONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.