DAWANDA R PESICKA PA-C
NPI 1801848874
Physician Assistant - Surgical in Aurora, CO

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Nov 13, 2023, Jun 14, 2021 and 1 more (4 updates tracked since 2016).

About Dawanda R Pesicka Pa-c NPPES

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

DAWANDA R PESICKA PA-C (NPI 1801848874) is an individual surgical provider in Aurora, Colorado, licensed in Colorado (PA.0002983) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801848874
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDAWANDA R PESICKACredential: PA-C
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1801848874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in CO · PA.0002983 Licensed in MN · 10721 Licensed in WA · PA10004567
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA10004567 (WA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA.0002983 (CO)
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Locations 3

Location 11100 9th Ave, MS:X8-GYNSeattle, WA 98101-2756 · Phone (206) 223-6191
Location 21101 Madison St Ste 1150Seattle, WA 98104-3558 · Phone (206) 386-3400
Location 36031 E Woodmen Rd Ste 250GoColorado Springs, CO 80923-2623 · Phone (719) 571-8660 · Fax (719) 571-8661

Accepted Insurance

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

Dawanda R Pesicka 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 ID7416940234
PECOS Enrollment IDI20111107000393
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.

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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Dawanda Pesicka's NPI number?

The NPI number for Dawanda Pesicka is 1801848874. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Dawanda Pesicka located?

Dawanda Pesicka practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Dawanda Pesicka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dawanda Pesicka enrolled in Medicare?

Yes. Dawanda Pesicka 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.

What insurance does Dawanda Pesicka accept?

Health plans from Medica, PacificSource Health Plans and UnitedHealthcare list Dawanda Pesicka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawanda Pesicka was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.