NATASHA ELLWOOD (PA) – Physician Assistant, NPI 1205265774

NATASHA ELLWOOD (PA) is a healthcare provider. based in Rifle, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 840793217 (CO). The NPI Number for NATASHA ELLWOOD (PA) is 1205265774

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NATASHA ELLWOOD (PA)
NPI
1205265774
Phone
(970) 945-2840
Address
195 W 14TH BLDG C
Enumeration Date
5 November 2013
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
MID WEST MEDICAL COLLEGE
Secondary Phone
9709452840
Graduation Year
2013 (13 years ago)
PAC ID
4789809039
Group Practice PAC ID
3173413101
Professional Enrollment ID
I20140701000403
Address ID
CO816504716RI195XXWXXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for NATASHA ELLWOOD (PA)

  • 195 W 14TH BLDG C

    RIFLE, CO 816504700

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Location

  • 1905 BLAKE AVE STE 101

    GLENWOOD SPRINGS, CO 816014206

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Mailing

  • 123 EMMA RD

    BASALT, CO 816219169

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140701000403IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81650)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173413101View full group profile
NameSpecialtyState
Mental Health CounselorCO
Physician AssistantCO
Family PracticeCO
Internal Medicine, Pediatric MedicineCO
Physician AssistantCO
Clinical Social WorkerCO
-CO
-CO
Family PracticeCA
-TN

Reviews

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Frequently asked questions

What NPI should I save for NATASHA ELLWOOD (PA)?
Save NPI 1205265774 if you need a stable reference for NATASHA ELLWOOD (PA).
Is NATASHA ELLWOOD (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NATASHA ELLWOOD (PA)'s specialty in plain language?
Clinically, the directory lists NATASHA ELLWOOD (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for NATASHA ELLWOOD (PA)?
We surface Rifle, Colorado for NATASHA ELLWOOD (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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