CARMEN ELENA NORTHINGTON PA-C
NPI 1093366403
Physician Assistant - Medical in Aurora, CO

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
16951 E QUINCY AVE, AURORA, CO 80015(303) 752-5470 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2021, Oct 15, 2021, Feb 12, 2021 and 1 more (4 updates tracked since 2019).

About Carmen Elena Northington Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN ELENA NORTHINGTON PA-C (NPI 1093366403) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0006635) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093366403
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARMEN ELENA NORTHINGTONCredential: PA-C
Location Address16951 E QUINCY AVEAurora, CO 80015-1901
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4451 · Fax (970) 490-4199
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 26, 2019
Last NPPES UpdateDecember 2, 20214 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
NPI 1093366403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0006635
16951 E QUINCY AVE, Aurora, CO 80015

Other Identifiers 1

Medicaid9000190610CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carmen Elena Northington Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42625964
PECOS Enrollment IDI20210226000326
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
158 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
16951 E QUINCY AVE
AURORA, CO 80015
Family Medicine
16951 E QUINCY AVE
AURORA, CO 80015
Nurse Practitioner (Family)
16951 E QUINCY AVE
AURORA, CO 80015
Counselor (Professional)
16951 E QUINCY AVE
AURORA, CO 80015
Physician Assistant
16951 E QUINCY AVE
AURORA, CO 80015
Physician Assistant
16951 E QUINCY AVE
AURORA, CO 80015
Clinic/Center (Urgent Care)
16951 E QUINCY AVE
AURORA, CO 80015
Nurse Practitioner (Family)
16951 E QUINCY AVE
AURORA, CO 80015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Northington's NPI number?

The NPI number for Carmen Northington is 1093366403. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Where is Carmen Northington located?

Carmen Northington practices at 16951 E Quincy Ave, Aurora, CO 80015. The listed phone number is (303) 752-5470.

What is Carmen Northington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carmen Northington enrolled in Medicare?

Yes. Carmen Northington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmen Northington accept?

Health plans from Medica and UnitedHealthcare list Carmen Northington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Northington was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.