Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Avery Marie Tudor, PA-C

Individual provider Physician Assistant · NPI 1508655721

Avery Marie Tudor, PA-C is a Physician Assistant in Denver, Colorado. Qualified in 2024, 2 years ago. Practices with Clinica Campesina Family Health Services, a 95-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 W 72nd Ave
Denver, CO 80221-2721
Phone: (615) 966-7150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.9056 (CO)

Record details

NPI number1508655721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1735 S Public Rd, Lafayette, CO 80026-7093

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clinica Campesina Family Health Services — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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