Individual provider Active NPI

Sarah Racine, PA

  • Medical Physician Assistant
  • Englewood, CO
National Provider Identifier
1952765877
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0004585 Issued in CO
Practice address
145 Inverness Dr E Ste 220
Englewood, CO 80112-5172
Phone
(303) 699-7325
NPI assigned
Apr 6, 2016
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0004585 CO Primary
Surgical Physician Assistant 363AS0400X PA.0004585 CO

Addresses

Primary practice location

145 Inverness Dr E Ste 220
Englewood, CO 80112-5172

Mailing address

8101 E Lowry Blvd Ste 120
Denver, CO 80230-7195
Phone (720) 865-6072

Other practice location 1

1022 Depot Hill Rd
Broomfield, CO 80020-1068
Phone (303) 465-2323

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
I20160426001358 CO Practitioner - Physician Assistant 4688973613 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0004585COMDMedical Physician Assistant
PA.0004585COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Nov 1, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Nov 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

145 Inverness Dr E
Ste 220
Englewood, CO 80112
Phone (303) 699-7323

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

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.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1952765877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 E LOWRY BLVD STE 120",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307195",
            "telephone_number": "720-865-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 INVERNESS DR E STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125172",
            "telephone_number": "303-699-7325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Depot Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201068",
            "country_code": "US",
            "telephone_number": "303-465-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACINE",
        "first_name": "SARAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0004585",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.