Individual provider Active NPI

Joanna W Coates, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1982121604
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
007153 Issued in CO
Practice address
300 S Jackson St Ste 240
Denver, CO 80209-3131
Phone
(720) 307-7856
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.006235 IL
Medical Physician Assistant 363AM0700X 007153 CO Primary

Addresses

Primary practice location

300 S Jackson St Ste 240
Denver, CO 80209-3131

Mailing address

300 S Jackson St Ste 240
Denver, CO 80209-3131

Other practice location 1

1600 Torrence Ave
Calumet City, IL 60409-5430
Phone (708) 730-1300

Other practice location 2

19550 Governors Hwy
Flossmoor, IL 60422-2125
Phone (708) 799-8400

Other practice location 3

6701 159th St
Tinley Park, IL 60477-1758
Phone (708) 429-3300

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
I20211223000198 CO Practitioner - Physician Assistant 3072889716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.006235ILMDPhysician Assistant
007153COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Wellness Associates CurrentSince Aug 25, 2024 Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients
Denver Wellness Associates PastSince Dec 5, 2021 Accepting new patients

Locations

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1982121604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093131",
            "telephone_number": "720-307-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Torrence Ave",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095430",
            "country_code": "US",
            "telephone_number": "708-730-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19550 Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604222125",
            "country_code": "US",
            "telephone_number": "708-799-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 159th St",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604771758",
            "country_code": "US",
            "telephone_number": "708-429-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "JOANNA",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006235",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "007153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.