NATALIE MANNON IBRAHIM PA-C
NPI 1285173203
Physician Assistant in Boulder, CO

Active since February 23, 2017PECOS Enrolled
777 29TH ST STE 301, BOULDER, CO 80303(303) 440-8243(303) 440-0292 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2023, Feb 23, 2017 (2 updates tracked since 2017).

About Natalie Mannon Ibrahim Pa-c NPPES

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

NATALIE MANNON IBRAHIM PA-C (NPI 1285173203) is an individual physician assistant provider in Boulder, Colorado, licensed in Colorado (0004763) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated December 8, 2023.

NPPES Registry Identity

NPI1285173203
Entity TypeIndividualFemale
Provider Legal NameNATALIE MANNON IBRAHIMCredential: PA-C
Location Address777 29TH ST STE 301Boulder, CO 80303-2316
Mailing Address777 29th St Ste 301Boulder, CO 80303-2316 · (303) 440-8243 · Fax (303) 440-0292
Fax(303) 440-0292
Sole ProprietorNo
Enumeration DateFebruary 23, 2017
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1285173203 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant

Taxonomy 363A00000X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in CO · 0004763

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… Show more

777 29TH ST STE 301, Boulder, CO 80303

Also on File with NPPES

Other Names1
Natalie Marie Mannon (Former Name (1))

Medicare Participation & PECOS Enrollment Status

Natalie Ibrahim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80303 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.43
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $22.35
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.2
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $18.05
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NATALIE MANNON IBRAHIM PA-C

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant
777 29TH ST STE 301
BOULDER, CO 80303
Physician Assistant (Medical)
777 29TH ST STE 301
BOULDER, CO 80303
Physician Assistant
777 29TH ST STE 301
BOULDER, CO 80303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285173203, enumerated as an "individual" on February 23, 2017.

The provider is located at 777 29TH ST STE 301 BOULDER, CO 80303 and the phone number is (303) 440-8243.

Physician Assistant with taxonomy code 363A00000X.