Kelli Courtney · Kelli Van Tassel · Surgical Physician Assistant

2373 G Rd Ste 100, Grand Junction, CO 81505-1003

Overview

Kelli Courtney is a Surgical Physician Assistant practicing in Grand Junction, Colorado. The National Provider Identifier (NPI) is #1962136051, which was assigned on July 13, 2022, and the registration record was last updated on January 20, 2026. The practitioner's main practice location is at 2373 G Rd Ste 100, Grand Junction, CO 81505-1003; the contact telephone number is 9702420484, and the fax number is 9702411681. The primary taxonomy of Kelli Courtney is Surgical Physician Assistant (363AS0400X), with specialization in Surgical. Kelli Courtney is licensed to practice in the state of Colorado (#PA.0008665), Colorado (#PA.0008665).

Provider Information

NPI 1962136051
Entity Type Individual
Provider Name KELLI COURTNEY
Other Name KELLI VAN TASSEL
(Former Name)
Gender Female
Credential PA
Practice Address 2373 G Rd Ste 100
Grand Junction
CO 81505-1003
Practice Telephone 9702420484
Practice Fax Number 9702411681
Mailing Address Po Box 1727
Grand Junction
CO 81502-1727
Mailing Telephone 9702576200
Mailing Fax Number 9702632691
Certification Date 2026-01-20
Enumeration Date 2022-07-13
Last Update Date 2026-01-20
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5092247031
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KELLI COURTNEY
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name UNIVERSITY PHYSICIANS INCORPORATED
Address 13123 E 16th Ave
Aurora
CO 80045-7106

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N363A00000XPhysician AssistantPA.0008665CO
Y363AS0400XPhysician AssistantSurgicalPA.0008665CO

Secondary Practice Locations

AddressTelephoneFax
2150 Stadium Dr, Boulder, CO 8030982533033159900
403 Summit Blvd Unit 204, Broomfield, CO 8002182537203752848

Taxonomy Information

Primary Taxonomy

Code 363AS0400X
Taxonomy Surgical Physician Assistant
Classification Physician Assistant
Specialization Surgical
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Glen Burnie Endoscopy Center, LLC 4 Mountain Rd, Glen Burnie, MD 21060-7974Surgical Physician Assistant2026-05-27
Michael Tinguely 910 N Eisenhower Ave, Mason City, IA 50401-1552Surgical Physician Assistant2026-06-01
Mikaela Corsi 3200 S University Dr, Davie, FL 33328-2018Surgical Physician Assistant2026-05-27
Delaney Ruppel 2055 N High St Ste 370, Denver, CO 80205-5545Surgical Physician Assistant2026-05-05
Simon Jeffrey Dreisbach 41 Burlington Mall Road, Burlington, MA 01805-0001Surgical Physician Assistant2026-05-26
Maryland Spine Center Chartered 1609 E Joppa Rd, Towson, MD 21286-2122Surgical Physician Assistant2026-05-06
Abigail Dallas Plewes 2352 Bruce B Downs Blvd Ste 102, Wesley Chapel, FL 33544-9203Surgical Physician Assistant2026-05-13
Victoria Loretta Saunders 3000 New Bern Ave, Raleigh, NC 27610-1231Surgical Physician Assistant2026-05-22
Justin Smith 725 North St, Pittsfield, MA 01201-4109Surgical Physician Assistant2026-06-03
Collier Surgical Services LLC 11629 Gwynford Ln, Jacksonville, FL 32223-7253Surgical Physician Assistant2026-05-26
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Location Information

Street Address 2373 G RD STE 100
City GRAND JUNCTION
State CO
Zip Code 81505-1003
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Juliann Hanson 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Occupational Therapist2007-05-14
William Gerald Rainer III 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Orthopaedic Surgery Physician2014-12-01
Daniel Craig Meister 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Physical Therapist2011-03-11
Peter Shorten 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Orthopaedic Surgery of the Spine Physician2014-03-26
Grand Valley Orthopedics 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Specialist2018-03-13
Kathryn M Morlan · Kathryn M Pasternak 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Physician Assistant2009-02-20
James Cameron Rose 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Specialist2011-03-31
Grand Valley Orthopedics 2373 G Rd Ste 100, Grand Jct, CO 81505-1003Durable Medical Equipment & Medical Supplies2022-01-13
Joshua David Thun 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Foot & Ankle Surgery Podiatrist2014-01-22
John Murdock Rawlings 2373 G Rd Ste 100, Grand Junction, CO 81505-1003Orthopaedic Surgery Physician2012-05-18
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Canyon View Wellness & Spa 2373 G Rd Ste 220, Grand Junction, CO 81505-1003Urology Physician2025-10-08
Audrey E Kramer 2373 G Rd Ste 160, Grand Junction, CO 81505-1003Nurse Practitioner2013-04-02
Robert Sean Brooks 2373 G Rd Ste 160, Grand Junction, CO 81505-1003Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician2006-07-07
Grand Valley Orthopedics 2373 G Rd Ste 160, Grand Junction, CO 81505-1003Specialist2018-03-15
Community Specialty Group LLC 2373 G Rd Ste 160, Grand Junction, CO 81505-1003Infectious Disease Physician2022-10-04
Community Specialty Group LLC 2373 G Rd Ste 160, Grand Jct, CO 81505-1003Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician2022-10-07
A'Lanne J Conrad 2373 G Rd, Ste 100, Grand Junction, CO 81505-1003Medical Physician Assistant2014-11-04
Brent Allen Woodson 2373 G Rd Ste 160, Grand Junction, CO 81505-1003Pulmonary Disease Physician2008-08-13
Grand Valley Orthopedics 2373 G Rd Ste 130, Grand Junction, CO 81505-1003Family Medicine Physician2019-12-18
Aaron Moore 2373 G Rd Ste 160, Grand Jct, CO 81505-1003Family Medicine Physician2017-05-31
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Cathy M Mccoy 2488 Fountainhead Blvd, Grand Junction, CO 81505Family Nurse Practitioner2010-01-04
The Center At Foresight, LLC 2594 Patterson Road, Grand Junction, CO 81505Skilled Nursing Facility2020-05-27
Grand Mesa Spine and Sport LLC 201 West Park Dr, Grand Junction, CO 81505Interventional Pain Medicine Physician2013-04-18
Appleton Dental LLC 2478 Patterson Road, Suite 24, Grand Junction, CO 81505Dentist2006-09-29
Thomas Foote 2472 Patterson Rd #7, Grand Junction, CO 81505Chiropractor2007-07-02
William Horace Paylor II 240 W Plaza Dr, Grand Junction, CO 81505Pharmacist2020-12-05
Amel Med, LLC 2460 Patterson Rd #4, Grand Junction, CO 81505Anesthesiology Physician2016-07-28
Paul I Holland 627 25.5 Road, Grand Junction, CO 81505Surgical Technologist2007-07-02
3210 E Rd Ops, LLC 3210 E Rd, Grand Junction, CO 81505Substance Abuse Rehabilitation Facility2026-04-20
Carol Joy Graham 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505Addiction (Substance Use Disorder) Counselor2017-04-07
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.