NATALIE MANNON IBRAHIM (PA-C) – Physician Assistant, NPI 1285173203
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NATALIE MANNON IBRAHIM (PA-C)
30940 STAGECOACH BLVD, STE E290
ELK RIDGE FAMILY PHYSICIANS, INC
EVERGREEN, CO 80439
Phone: (303) 674-8153
Fax: (303) 674-8303
Type: Mailing
777 29TH ST STE 301
BOULDER, CO 803032316
Phone: (303) 440-8243
Fax: (303) 440-0292
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-18
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80439)
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