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PORTERCARE ADVENTIST HEALTH SYSTEM
NPI 1689530826
Nurse Practitioner in Castle Rock, CO

Active since December 31, 2025
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109(303) 738-2795(720) 455-0201 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Portercare Adventist Health System NPPES

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

PORTERCARE ADVENTIST HEALTH SYSTEM (NPI 1689530826), doing business as Adventhealth Medical Group Palliative Care At Castle Rock, is a healthcare organization registered as a nurse practitioner in Castle Rock, Colorado and active in the NPI registry since December 2025. The organization lists Jason Tacha, Coo, as its authorized official.

NPPES Registry Identity

NPI1689530826
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address2350 MEADOWS BLVDCastle Rock, CO 80109-8405
Mailing AddressPo Box 713425Chicago, IL 60677-4325 · (800) 953-0104
Phone(303) 738-2795
Fax(720) 455-0201
Organization SubpartNo
Authorized OfficialJason TachaCoo · (303) 304-7752
Enumeration DateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1689530826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2350 MEADOWS BLVD, Castle Rock, CO 80109
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Other Names 1

Doing Business AsAdventhealth Medical Group Palliative Care At Castle Rock

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portercare Adventist Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

733

Medicare enrollment records show 733 clinicians reassign Medicare billing to Portercare Adventist Health System, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 96 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner159
Family Practice83
Internal Medicine77
Obstetrics/Gynecology69
Hospitalist47
Orthopedic Surgery36
Gastroenterology25
Mental Health Counselor20
37 other specialties217

Nearest to this location (20)

See all 733
Lynn Barta, M.D.
Obstetrics/Gynecology
NPI 1851330492
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0350
✔ PECOSSame address
Anne Manchester, MD
Internal Medicine
NPI 1750532552
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0655
✔ PECOS✔ Accepts MedicareSame address
Thomas Rose, M.D.
Internal Medicine
NPI 1639531098
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0655
✔ PECOS✔ Accepts MedicareSame address
Kristen Scogin, MD
Obstetrics/Gynecology
NPI 1417210477
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0350
✔ PECOS✔ Accepts MedicareSame address
Azure Smith, APRN, FNP-C
Nurse Practitioner
NPI 1841766268
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0489
✔ PECOS✔ Accepts MedicareSame address
Irene Soesilo, DO
Internal Medicine
NPI 1912062746
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0655
✔ PECOS✔ Accepts MedicareSame address
Stuart Weatherwax, MD
Obstetrics/Gynecology
NPI 1063688588
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0350
✔ PECOS✔ Accepts MedicareSame address
Kiersten Williams, MD
Obstetrics/Gynecology
NPI 1710944731
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0350
✔ PECOS✔ Accepts MedicareSame address
Eduardo Carrera, MD
Physical Medicine and Rehabilitation
NPI 1689170532
4350 LIMELIGHT AVE
Castle Rock, CO 80109
(720) 455-3775
✔ PECOS✔ Accepts MedicareSame address
Rajshri Bolson, MD
Hand Surgery
NPI 1588772610
4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109
(720) 455-3775
✔ PECOS✔ Accepts MedicareSame address
Anthony Sanchez, M.D.
Orthopedic Surgery
NPI 1366445041
4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109
(720) 455-3775
✔ PECOS✔ Accepts MedicareSame address
Nicholas Stockwell, DO
Orthopedic Surgery
NPI 1225411242
4350 LIMELIGHT AVE STE 100
Castle Rock, CO 80109
(720) 455-3775
✔ PECOS✔ Accepts MedicareSame address
Roy Bergstrom, MD
Obstetrics/Gynecology
NPI 1174506422
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-0350
✔ PECOS✔ Accepts Medicare0.1 mi
Hugh Hallmark, MD
Internal Medicine
NPI 1154317006
2350 MEADOWS BLVD
Castle Rock, CO 80109
(720) 455-3879
✔ PECOS✔ Accepts Medicare0.1 mi
Kristin Heins, FNP-BC, CNM
Certified Nurse Midwife (CNM)
NPI 1457079196
2356 MEADOWS BLVD STE 310B
Castle Rock, CO 80109
(720) 330-1460
✔ PECOS0.1 mi
Elizabeth Wynn, LPC
Mental Health Counselor
NPI 1093670036
2356 MEADOWS BLVD STE 310B
Castle Rock, CO 80109
(720) 330-1460
✔ PECOS✔ Accepts Medicare0.1 mi
Kristyn Everett, CFNP
Nurse Practitioner
NPI 1942280334
2356 MEADOWS BLVD
Castle Rock, CO 80109
(303) 218-7774
✔ PECOS✔ Accepts Medicare0.1 mi
Marco Gomez, MD
Family Practice
NPI 1811171572
2356 MEADOWS BLVD STE 140B
Castle Rock, CO 80109
(303) 218-7774
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Katz, MD
Urology
NPI 1639312226
2352 MEADOWS BLVD STE 300
Castle Rock, CO 80109
(303) 649-3710
✔ PECOS✔ Accepts Medicare0.1 mi
Katarzyna Kocol, D.O.
Physical Medicine and Rehabilitation
NPI 1093919235
2360 MEADOWS BLVD STE 200
Castle Rock, CO 80109
(720) 455-3775
✔ PECOS✔ Accepts Medicare0.1 mi
See all 733 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1689530826. It was assigned to this organization in the NPPES registry on December 31, 2025. The provider is doing business as AdventHealth Medical Group Palliative Care at Castle Rock.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 2350 Meadows Blvd, Castle Rock, CO 80109. The listed phone number is (303) 738-2795.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Portercare Adventist Health System enrolled in Medicare?

Yes. Portercare Adventist Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portercare Adventist Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 733 clinicians in 45 Medicare specialties reassign their Medicare billing to Portercare Adventist Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (159), Family Practice (83) and Internal Medicine (77). Of these, 12 practice at this address and 96 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.