Active NPI
Brooke W Lewis, PA-C
- Physician Assistant
- Boulder, CO
National Provider Identifier
1952497646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1216
- Practice address
- 905 Alpine Ave
Boulder, CO 80304-3305 - Phone
- (303) 569-8560
- Fax
- (970) 665-5652
- NPI assigned
- Oct 4, 2006
- 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 | 1216 | CO | Primary |
Addresses
Primary practice location
905 Alpine Ave
Boulder, CO 80304-3305
Mailing address
PO Box 7065
Loveland, CO 80537-0065
Phone (970) 663-2742
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 Alpine Ave
Boulder, CO 80304-3305
Phone (970) 667-3116
Hospital & facility affiliations
- Boulder Community Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin PC | Current | Accepting new patients | |
| Skin PC | Past | Accepting new patients |
Locations
905 Alpine Ave
Boulder, CO 80304
Phone (303) 448-4620
335 W South Boulder Rd
Ste 3
Louisville, CO 80027
Phone (303) 666-8288
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.
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Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1952497646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7065",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805370065",
"telephone_number": "970-663-2742",
"fax_number": "970-342-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 ALPINE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043305",
"telephone_number": "303-569-8560",
"fax_number": "970-665-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BROOKE",
"middle_name": "W",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.