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ELFRIEDE E VERNON PA
NPI 1205003324
Physician Assistant - Medical in Fort Carson, CO

Active since May 08, 2008PECOS Enrolled
6351 WETZEL AVE BLDG 1525, FORT CARSON, CO 80913(719) 524-4664(719) 524-2116 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 13, 2021, Jun 13, 2018, May 11, 2017 (3 updates tracked since 2017).

About Elfriede E Vernon Pa NPPES

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

ELFRIEDE E VERNON PA (NPI 1205003324) is an individual medical provider in Fort Carson, Colorado, licensed in California (PA13986) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205003324
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELFRIEDE E VERNONCredential: PA
Location Address6351 WETZEL AVE BLDG 1525Fort Carson, CO 80913-4188
Mailing Address6351 Wetzel Ave Bldg 1525Fort Carson, CO 80913-4188 · (719) 524-4664 · Fax (719) 524-2116
Phone(719) 524-4664
Fax(719) 524-2116
Sole ProprietorNo
Enumeration DateMay 8, 2008
Last NPPES UpdateMay 13, 20213 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1205003324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA13986
Also ListedPhysician AssistantTaxonomy 363A00000X
6351 WETZEL AVE BLDG 1525, Fort Carson, CO 80913
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Other Identifiers 1

OtherPA13986CA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elfriede E Vernon Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Elfriede Vernon's NPI number?

The NPI number for Elfriede Vernon is 1205003324. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Elfriede Vernon located?

Elfriede Vernon practices at 6351 Wetzel Ave Bldg 1525, Fort Carson, CO 80913. The listed phone number is (719) 524-4664.

What is Elfriede Vernon's specialty?

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

Is Elfriede Vernon enrolled in Medicare?

Yes. Elfriede Vernon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elfriede Vernon was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.