Individual provider Active NPI

Joyce Ann Nieman, MHS, PA-C, MT (ASCP)

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1982620498
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1591 Issued in CO
Practice address
4800 E Bellview Dr
Aurora, CO 80015
Phone
(303) 680-5000
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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 1591 CO
Physician Assistant 363A00000X PA1591 CO Primary

Addresses

Primary practice location

4800 E Bellview Dr
Aurora, CO 80015

Mailing address

900 Starling LN
Elizabeth, CO 80107-8540

Other identifiers 2

IdentifierTypeStateIssuer
16384717MedicaidCO
1591OtherCOLORADO BME PA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
1591COMDPhysician Assistant
PA1591COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Gastroenterology Prof LLC PastSince Feb 19, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1982620498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARLING LN",
            "city": "ELIZABETH",
            "state": "CO",
            "postal_code": "801078540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 E BELLVIEW DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80015",
            "telephone_number": "303-680-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "credential": "MHS, PA-C, MT (ASCP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1591",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA1591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16384717",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BME PA LICENSE",
            "identifier": "1591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.