Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285173203 Individual Practitioner Female Practitioner

Natalie Mannon Ibrahim , PA-C

Physician Assistant • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Natalie Ibrahim, PA-C is a registered healthcare professional specializing in Physician Assistant in Boulder, CO. Practice services are available at 777 29TH ST STE 301 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

777 29th St Ste 301

Boulder, CO 803032316

Telephone 3034408243
Fax 3034400292
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
90 63 $110.00 $62.46
36415 Insertion of needle into vein for collection of blood sample
26 23 $15.00 $2.94
81003 Automated urinalysis test
26 23 $16.00 $2.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 20 $145.00 $89.22
93000 Routine ekg using at least 12 leads including interpretation and report
15 14 $66.00 $13.78

Medical Specialties & State Licenses

CMS Verified: 2023-12-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 0004763

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Sarah Trigg

Nurse Practitioner - Family

NPI 1083583041
Patricia Henman , PA-C

Physician Assistant - Medical

NPI 1730361445

Physician Assistant (Certified)

Jonathan Lejeune , APRN

Nurse Practitioner - Family

NPI 1770157265

Advanced Practice Registered Nurse

Dr. Stanley Jack , DO

Family Medicine

NPI 1962578948

Doctor of Osteopathic Medicine (D.O.)

Darrell Creekmore , PA-C

Physician Assistant

NPI 1972043396

Physician Assistant (Certified)

Amanda Doetsch , PA-C

Physician Assistant

NPI 1972574002

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 08, 2023

Registered at 777 29TH ST STE 301, BOULDER, CO 803032316 (Tel: 3034408243)

📍
Updated Business Mailing Address December 08, 2023

Registered at 777 29TH ST STE 301, BOULDER, CO 803032316 (Tel: 3034408243)

NPI Profile Active February 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2017

Registered at 30940 STAGECOACH BLVD, STE E290, ELK RIDGE FAMILY PHYSICIANS, INC, EVERGREEN, CO 80439 (Tel: 3036748153)

📍
Updated Business Mailing Address February 23, 2017

Registered at 30940 STAGECOACH BLVD, STE E290, ELK RIDGE FAMILY PHYSICIANS, INC, EVERGREEN, CO 80439 (Tel: 3036748153)

👤
Provider Name / Credentials Updated February 23, 2017

Recorded as NATALIE IBRAHIM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2017

Physician Assistant (License #0004763 in CO)

🟢
Initial NPI Registration & Enumeration February 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285173203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2017
Last Update: December 08, 2023
Sole Proprietor: No

Mailing Address

777 29th St Ste 301

Boulder, CO 803032316

Phone: 3034408243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.