JUSTIN B RYDBERG P.A.
NPI 1467788448
Physician Assistant - Medical in Lafayette, CO

Active since October 26, 2009PECOS EnrolledAccepts Medicare Assignment
280 EXEMPLA CIR, LAFAYETTE, CO 80026(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Aug 12, 2020 (2 updates tracked since 2020).

About Justin B Rydberg P.a. NPPES

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

JUSTIN B RYDBERG P.A. (NPI 1467788448) is an individual medical provider in Lafayette, Colorado, licensed in Colorado (2906) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1467788448
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTIN B RYDBERGCredential: P.A.
Location Address280 EXEMPLA CIRLafayette, CO 80026-3370
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 26, 2009
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
NPI 1467788448 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 · 2906
280 EXEMPLA CIR, Lafayette, CO 80026

Other Identifiers 2

Other024332CO · Kaiser Commercial Number
Medicaid53881826CO

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

Justin B Rydberg P.a. 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 ID7911046263
PECOS Enrollment IDI20091130000601
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.

Other Providers at the Same Location NPPES 20

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

General Practice
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Nurse Practitioner (Family)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Registered Nurse
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Social Worker (Clinical)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Surgery
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Orthopaedic Surgery
280 EXEMPLA CIR, DEPARTMENT OF ORTHOPAEDICS
LAFAYETTE, CO 80026
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Nurse's Aide
280 EXEMPLA CIR
LAFAYETTE, CO 80026

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 Justin Rydberg's NPI number?

The NPI number for Justin Rydberg is 1467788448. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Justin Rydberg located?

Justin Rydberg practices at 280 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 338-4545.

What is Justin Rydberg's specialty?

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

Is Justin Rydberg enrolled in Medicare?

Yes. Justin Rydberg 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.

When was this NPI record last updated?

The NPPES record for Justin Rydberg was last updated on June 8, 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.