Individual provider Active NPI

Kaitlyn Rose Stiles

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1982480547
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.OOO8498 Issued in CO
Practice address
2267 E 18TH St
Loveland, CO 80538-5224
Phone
(480) 316-5006
NPI assigned
Sep 7, 2023
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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.OOO8498 CO Primary

Addresses

Primary practice location

2267 E 18TH St
Loveland, CO 80538-5224

Mailing address

2267 E 18TH St
Loveland, CO 80538-5224
Phone (480) 316-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240521001079 CO Practitioner - Physician Assistant 1658713839 Reassigns benefits to 1 organization
I20240529003348 WY Practitioner - Physician Assistant 1658713839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Cheyenne, WY 82009
Phone (303) 859-9722

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.OOO8498COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Concierge Physicians, LLC Physician Assistant CurrentSince Apr 15, 2024 Accepting new patients

Locations

1551 Professional Ln
Ste 102
Longmont, CO 80501
Phone (720) 986-0850

Organizations & group practices 1

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1982480547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385224",
            "telephone_number": "480-316-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 E 18TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385224",
            "telephone_number": "480-316-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.OOO8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.