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Brooke T Packard , PA

Physician Assistant β€’ Denver, CO

Active NPI 1770557993 Individual Practitioner Female Practitioner
Practice location in NPPES

4231 W 16th Ave
Denver, CO 802041335

Call 3036293721 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4231 W 16th Ave

Denver, CO 802041335

Telephone 3036293721
Fax 3036292192
Organization at the Same NPPES Address or Phone
Denver Nmr, Inc Facility NPI 1699747857

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Steamboat Springs, CO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Brooke Packard has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Brooke Packard as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Denver and Colorado

540 active clinicians are listed under Physician Assistant with a practice address in Denver, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Denver

11.9% of these 540 clinicians have the CMS telehealth indicator.

54.1% of these 540 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO PA.0002000

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES CO 2000

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
51026023 (CO)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20050119000235

Enrollment State Jurisdiction

CO

PECOS Control ID

1658320494

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2305 Mount Werner Cir # P.027

Steamboat Springs, CO 804879023

Phone: 9708718038

1600 Mid Valley Dr

Steamboat Springs, CO 804879006

Phone: 9708709770

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Lisa Maccormack , MD

Emergency Medicine

NPI 1245289834

Doctor of Medicine (M.D.)

Dr. James Mosby , MD

Emergency Medicine

NPI 1639142888

Doctor of Medicine (M.D.)

Dr. Patrick Reinfried , MD

Emergency Medicine

NPI 1700810652

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 31, 2025

Recorded as BROOKE PACKARD, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2025

Physician Assistant (license number reported to NPPES: CO PA.0002000)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 4231 W 16TH AVE, DENVER, CO 802041335 (Tel: 3036293721)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 7851 S ELATI ST, SUITE 202, LITTLETON, CO 801208080 (Tel: 3037590854)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as BROOKE TIETSORT, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (license number reported to NPPES: CO 2000)

🟒
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770557993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: January 31, 2025
Sole Proprietor: No

Other Physician Assistants in Denver

All Physician Assistants in Denver

Mailing Address

7851 S Elati St, Suite 202

Littleton, CO 801208080

Phone: 3037590854

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.