Emily Bartzen Leibow, PA-C
Physician Assistant in Fort Collins, CO. Individual provider (NPI-1).
NPI number1124090410
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1124090410
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Emily Bartzen Leibow
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2006
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0003084 | CO | Yes |
| 363AM0700X | Physician Assistant, Medical | PA14567 | CA | |
| 363AM0700X | Physician Assistant, Medical | 3084 | CO |
Other names
- Emily Flint Bartzen (Former Name)
Practice location
4380 Ziegler RdFort Collins, CO 80525-9631
Phone 970-237-7550 · Fax 970-237-7551
Mailing address
4380 Ziegler RdFort Collins, CO 80525-9631
Phone 970-237-7550 · Fax 970-237-7551
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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