MRS. MANDY PETRY PA-C
NPI 1578968236
Physician Assistant in Denver, CO

Q: What is Mandy Petry's NPI number?

The NPI number for Mandy Petry is 1578968236. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Q: What is Mandy Petry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Petry was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment

8101 E LOWRY BLVD STE 230, DENVER, CO 80230(303) 344-9090(303) 344-1922 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 7, 2017 (2 updates tracked since 2017).

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About Mrs. Mandy Petry Pa-c NPPES

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

MRS. MANDY PETRY PA-C (NPI 1578968236) is an individual physician assistant in Denver, Colorado, licensed in Colorado (PA.0004121) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578968236

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MANDY PETRYCredential: PA-C

Location Address8101 E LOWRY BLVD STE 230Denver, CO 80230-7195

Mailing Address8101 E Lowry Blvd Ste 230Denver, CO 80230-7195 · (303) 344-9090 · Fax (303) 344-1922

Phone(303) 344-9090

Fax(303) 344-1922

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 23, 2014

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1578968236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0004121

Definition

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.

8101 E LOWRY BLVD STE 230, Denver, CO 80230

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Secondary Practice Location 1

Location 124281 E Roxbury CirAurora, CO 80016-4109 · Phone (337) 384-5041

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

Mrs. Mandy Petry 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 ID345556924

PECOS Enrollment IDI20150827000233

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

CONNOR TIMOTHY LANDUSKY

Physician Assistant