MR. JUSTIN SHAWN KLIEWER AA
NPI 1669252763
Anesthesiologist Assistant in Greenwood Village, CO

Q: What is Justin Kliewer's NPI number?

The NPI number for Justin Kliewer is 1669252763. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Q: What is Justin Kliewer's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Kliewer was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 05, 2023Accepts Medicare Assignment

8000 E MAPLEWOOD AVE STE 120, GREENWOOD VILLAGE, CO 80111(303) 438-3999(720) 439-9500 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Oct 5, 2023 (2 updates tracked since 2023).

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About Mr. Justin Shawn Kliewer Aa NPPES

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

MR. JUSTIN SHAWN KLIEWER AA (NPI 1669252763) is an individual anesthesiologist assistant in Greenwood Village, Colorado, licensed in Colorado (ANT.0000248) and active in the NPI registry since October 2023. He maintains a secondary practice location in Saint Louis and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669252763

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. JUSTIN SHAWN KLIEWERCredential: AA

Location Address8000 E MAPLEWOOD AVE STE 120Greenwood Village, CO 80111-4766

Mailing AddressPo Box 840862Dallas, TX 75284-0862 · (303) 377-7638 · Fax (303) 780-0787

Phone(303) 438-3999

Fax(720) 439-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 5, 2023

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1669252763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in CO · ANT.0000248✔ Licensed in MO · PENDING

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

8000 E MAPLEWOOD AVE STE 120, Greenwood Village, CO 80111

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Secondary Practice Location 1

Location 1615 S New Ballas Rd Dept OfSaint Louis, MO 63141-8221 · Phone (636) 386-9224 · Fax (636) 386-7679

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

Mr. Justin Shawn Kliewer Aa 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 ID345685525

PECOS Enrollment IDI20240614001086

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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.

JENNIFER K KROGH CRNA

Nurse Anesthetist, Certified Registered