Individual provider Active NPI

Kelsey Egan, PA

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1952918302
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0006320 Issued in CO
Practice address
1250 S Buckley Rd
Aurora, CO 80017-4180
Phone
(303) 223-9863
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 0006320 CO Primary

Addresses

Primary practice location

1250 S Buckley Rd
Aurora, CO 80017-4180

Mailing address

1250 S Buckley Rd
Aurora, CO 80017-4180
Phone (303) 223-9863

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
I20210316002684 CO Practitioner - Physician Assistant 5193131100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890

6080 W 92ND Ave
Suite 1000
Westminster, CO 80031-2935
Phone (720) 479-5780

6413 Fig St
Arvada, CO 80004-1041
Phone (720) 449-8060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0006320COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Denver Urgent Care Professional LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

5165 W 72nd Ave
Westminster, CO 80030
Phone (303) 645-4770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1952918302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S BUCKLEY RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174180",
            "telephone_number": "303-223-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S BUCKLEY RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174180",
            "telephone_number": "303-223-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KELSEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-05-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0006320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.