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CHRISTINE E CORK PA-C CAQ PSYCH
NPI 1811403363
Physician Assistant in Longmont, CO

Active since December 20, 2017PECOS Enrolled
635 GOOSEBERRY DR UNIT 1905, LONGMONT, CO 80503(678) 697-9665 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2018, Dec 20, 2017 (2 updates tracked since 2017).

About Christine E Cork Pa-c Caq Psych NPPES

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

CHRISTINE E CORK PA-C CAQ PSYCH (NPI 1811403363) is an individual physician assistant in Longmont, Colorado, licensed in Colorado (PA.0005295) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1811403363
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHRISTINE E CORKCredential: PA-C CAQ PSYCH
Location Address635 GOOSEBERRY DR UNIT 1905Longmont, CO 80503-6457
Mailing Address635 Gooseberry Dr Unit 1905Longmont, CO 80503-6457 · (678) 697-9665
Phone(678) 697-9665
Sole ProprietorYes
Enumeration DateDecember 20, 2017
Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1811403363 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.0005295
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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License PA.0005295 (CO)
635 GOOSEBERRY DR UNIT 1905, Longmont, CO 80503
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Secondary Practice Location 1

Location 11455 Dixon AveLafayette, CO 80026-8879 · Phone (303) 443-8500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine E Cork Pa-c Caq Psych 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 80503 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

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

CONNECTIONS PSYCHIATRY LLC
Psychiatry & Neurology (Psychiatry)
635 GOOSEBERRY DR UNIT 1905
LONGMONT, CO 80503
Boulder County (303) 414-1133

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 Christine Cork's NPI number?

The NPI number for Christine Cork is 1811403363. It was assigned to this individual provider in the NPPES registry on December 20, 2017.

Where is Christine Cork located?

Christine Cork practices at 635 Gooseberry Dr Unit 1905, Longmont, CO 80503. The listed phone number is (678) 697-9665.

What is Christine Cork's specialty?

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

Is Christine Cork enrolled in Medicare?

Yes. Christine Cork is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christine Cork was last updated on February 15, 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.