Individual provider Active NPI

Autumn K Onkst, PA-C

  • Surgical Physician Assistant
  • Littleton, CO
National Provider Identifier
1992841159
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA790 Issued in KY
Practice address
7852 S Elati St Suite 101
Littleton, CO 80120-8079
Phone
(303) 703-9151
Fax
(303) 703-9150
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA790 KY
Surgical Physician Assistant 363AS0400X PA790 KY Primary

Addresses

Primary practice location

7852 S Elati St Suite 101
Littleton, CO 80120-8079

Mailing address

11356 Mesa Verde Way
Parker, CO 80138-3015
Phone (859) 396-6162

Other identifiers 10

IdentifierTypeStateIssuer
61-1427889OtherKYCHA
61-1427889OtherKYTRICARE
61-1427889OtherKYUHC
C60877OtherKYCUMBERLAND HEALTHCARE INC
000000377925OtherKYANTHEM
61-1427889OtherKYHUMANA
61-1427889OtherKYBLUEGRASS FAMILY HEALTH
95005088MedicaidKY
030670000OtherKYBLACK LUNG
50005325OtherKYPASSPORT HEALTH PLAN

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
I20111202000588 CO Practitioner - Physician Assistant 2466349642 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA790KYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Mar 1, 2016 Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1992841159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11356 MESA VERDE WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383015",
            "telephone_number": "859-396-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7852 S ELATI ST SUITE 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208079",
            "telephone_number": "303-703-9151",
            "fax_number": "303-703-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONKST",
        "first_name": "AUTUMN",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA790",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "61-1427889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "61-1427889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "61-1427889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE INC",
            "identifier": "C60877",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000377925",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61-1427889",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "61-1427889",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005088",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030670000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50005325",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.