Melissa J Guerri, PA-C, M.S.
Physician Assistant, Medical in Broomfield, CO. Individual provider (NPI-1).
NPI number1295068682
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1295068682
- Entity type
- Individual (NPI-1)
- Name
- Melissa J Guerri
- Credential
- PA-C, M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2009
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 2975 | CO | Yes |
Practice location
403 Summit Blvd Unit 204Broomfield, CO 80021-8253
Phone 720-401-2139 · Fax 303-469-4439
Mailing address
403 Summit Blvd Unit 204Broomfield, CO 80021-8253
Phone 720-401-2139 · Fax 303-469-4439
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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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