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BROOKE T PACKARD PA
NPI 1770557993
Physician Assistant in Denver, CO

Active since February 14, 2006PECOS Enrolled
4231 W 16TH AVE, DENVER, CO 80204(303) 629-3721(303) 629-2192 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brooke T Packard Pa NPPES

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

BROOKE T PACKARD PA (NPI 1770557993) is an individual physician assistant in Denver, Colorado, licensed in Colorado (PA.0002000) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770557993
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE T PACKARDCredential: PA
Location Address4231 W 16TH AVEDenver, CO 80204-1335
Mailing Address7851 S Elati St, Suite 202Littleton, CO 80120-8080 · (303) 759-0854 · Fax (303) 759-0864
Phone(303) 629-3721
Fax(303) 629-2192
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1770557993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · PA.0002000
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2000 (CO)
4231 W 16TH AVE, Denver, CO 80204
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Other Names 1

Former Name (1)Brooke Anne Tietsort

Other Identifiers 1

Medicaid51026023CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke T Packard Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 80204 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 20

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

JAMES TYLER JONES
Nurse Anesthetist, Certified Registered
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712
DAN MILLER CRNA
Nurse Anesthetist, Certified Registered
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712
CATHOLIC HEALTH INITIATIVES COLORADO
Family Medicine
4231 W 16TH AVE
DENVER, CO 80204
Denver County (303) 629-2333
CHRIS CELECHOVSKY M.D.
Anesthesiology
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712
MARIEKA THERESE STAM RN
Registered Nurse
4231 W 16TH AVE
DENVER, CO 80204
Denver County (303) 629-3511
JESSICA A WOLF CRNA
Nurse Anesthetist, Certified Registered
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712
ELLIOTT WOHLNER M.D.
Anesthesiology
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712
DR. MIN WANG MD
Anesthesiology
4231 W 16TH AVE
DENVER, CO 80204
Denver County (719) 537-0712

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 Brooke Packard's NPI number?

The NPI number for Brooke Packard is 1770557993. It was assigned to this individual provider in the NPPES registry on February 14, 2006. The provider is also known as Brooke Anne Tietsort.

Where is Brooke Packard located?

Brooke Packard practices at 4231 W 16th Ave, Denver, CO 80204. The listed phone number is (303) 629-3721.

What is Brooke Packard's specialty?

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

Is Brooke Packard enrolled in Medicare?

Yes. Brooke Packard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Packard was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.