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

Individual provider Physician Assistant · NPI 1740807189

Carly Marie Tiedke, PA-C is a Physician Assistant in Aurora, Colorado. Qualified in 2020, 6 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
Specialties on file
2
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

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2055 N High St Ste 370, Denver, CO 80205-5545 — (303) 839-6001

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0006324 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0006324 (CO)

Record details

NPI number1740807189
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2020
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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