Individual provider Active NPI

Andrea L Ostrom, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1982914578
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
421 Issued in CO
Practice address
10400 E Alameda Ave
Denver, CO 80247-5104
Phone
(303) 338-4545
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 421 CO Primary

Addresses

Primary practice location

10400 E Alameda Ave
Denver, CO 80247-5104

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

850 E Harvard Ave Ste 405
Denver, CO 80210-5077
Phone (303) 584-8900

Other identifiers 2

IdentifierTypeStateIssuer
027351OtherCOKAISER COMMERCIAL NUMBER
28087241MedicaidCO

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
I20101109000671 CO Practitioner - Physician Assistant 1254526858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
60.74 of 100Reported as group
Quality
77.46
Promoting interoperability
0
Improvement activities
40
Cost
75.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC CurrentSince Sep 28, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 16, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 16, 2019 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Sep 28, 2023 Accepting new patients

Locations

850 E Harvard Ave
Ste 405
Denver, CO 80210
Phone (303) 584-8900

950 E Harvard Ave
Ste 200
Denver, CO 80210
Phone (303) 649-3200

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

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

Organizations & group practices 6

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1982914578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 E ALAMEDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802475104",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 E Harvard Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802105077",
            "country_code": "US",
            "telephone_number": "303-584-8900",
            "fax_number": "303-584-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "027351",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28087241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.