MELINDA FORTENBAUGH PA
NPI 1699191536
Physician Assistant in Colorado Springs, CO

Active since March 17, 2014PECOS EnrolledAccepts Medicare Assignment
4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2021, Feb 14, 2020, Nov 16, 2018 and 1 more (4 updates tracked since 2016).

About Melinda Fortenbaugh Pa NPPES

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

MELINDA FORTENBAUGH PA (NPI 1699191536) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA.0005559) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Myers, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699191536
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELINDA FORTENBAUGHCredential: PA
Location Address4105 BRIARGATE PKWY STE 125Colorado Springs, CO 80920-3482
Mailing Address10350 E Dakota AveDenver, CO 80247-1314
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 17, 2014
Last NPPES UpdateJune 18, 20214 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
NPI 1699191536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CO · PA.0005559 Licensed in FL · PA9107828
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.
4105 BRIARGATE PKWY STE 125, Colorado Springs, CO 80920

Other Names 1

Former Name (1)Melinda Bolgar Pa

Secondary Practice Location 1

Location 115750 New Hampshire Ct, Ste DFort Myers, FL 33908-4100 · Phone (239) 985-1050

Other Identifiers 1

Other1116613FL · Nccpa

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

Melinda Fortenbaugh Pa 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 ID9032331590
PECOS Enrollment IDI20181206002650
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 80920 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.

Other Providers at the Same Location NPPES 17

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

Family Medicine
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Family Medicine
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Optometrist
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Internal Medicine
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Family Medicine
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Registered Nurse (Case Management)
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Chiropractor
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920
Registered Nurse
4105 BRIARGATE PKWY STE 125
COLORADO SPRINGS, CO 80920

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 Melinda Fortenbaugh's NPI number?

The NPI number for Melinda Fortenbaugh is 1699191536. It was assigned to this individual provider in the NPPES registry on March 17, 2014. The provider is also known as Melinda Bolgar PA.

Where is Melinda Fortenbaugh located?

Melinda Fortenbaugh practices at 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920. The listed phone number is (303) 338-4545.

What is Melinda Fortenbaugh's specialty?

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

Is Melinda Fortenbaugh enrolled in Medicare?

Yes. Melinda Fortenbaugh 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 Melinda Fortenbaugh was last updated on June 18, 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.