MS. ANNA T ROE (PA-C) – Surgical Physician Assistant, NPI 1962408021

MS. ANNA T ROE (PA-C) is a healthcare provider. based in Boulder, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 878 (CO). The NPI Number for MS. ANNA T ROE (PA-C) is 1962408021

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANNA T ROE (PA-C)
NPI
1962408021
Phone
(303) 442-2395
Address
5450 WESTERN AVE
Enumeration Date
23 June 2005
Last Update Date
10 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034157610
Graduation Year
1993 (33 years ago)
PAC ID
7012106404
Group Practice PAC ID
6800707233
Professional Enrollment ID
I20110118000151
Address ID
CO803031131BO4747XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for MS. ANNA T ROE (PA-C)

  • 5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States

    SUITE B

    BOULDER, CO 803012709

    Phone: (303) 442-2395

    Fax: (303) 442-1073

    Type: Mailing

  • Anderson Medical Center, 4743, Arapahoe Avenue, Boulder, Boulder County, Colorado, 80303-1229, United States

    SUITE 201

    BOULDER, CO 803031113

    Phone: (303) 442-2395

    Fax: (303) 442-1073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-05-04 • Largest payer in this snapshot: ATRICURE, INC. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$42
View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-18

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
I20110118000151IPhysician 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 80301)

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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: 6800707233View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Internal MedicineMI
-CO
Hospitalist, Internal MedicineCO
Vascular SurgeryCO
-CO
-CO
Internal MedicineCO
Cardiovascular Disease (Cardiology), Interventional CardiologyCO

Reviews

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Frequently asked questions

What federal number belongs to MS. ANNA T ROE (PA-C)?
The federal identifier for MS. ANNA T ROE (PA-C) is NPI 1962408021.
Does this profile mean MS. ANNA T ROE (PA-C) is currently active?
Yes — MS. ANNA T ROE (PA-C) appears active in the national provider directory.
Can you summarize MS. ANNA T ROE (PA-C)'s specialty in plain language?
Clinically, the directory lists MS. ANNA T ROE (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. ANNA T ROE (PA-C)?
The page summarizes Boulder, Colorado for MS. ANNA T ROE (PA-C); expand the address list for detail.
What if Boulder, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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