Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Emerson, PA, ATC

Individual provider Physician Assistant · NPI 1053863746

Charles Emerson, PA, ATC is a Physician Assistant in Aurora, Colorado. Qualified in 2015, 11 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, Florida and Montana.

Years since qualifying
11
Licensed in
CO, FL, MT
In the registry since
2016
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

12505 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11820 Destination Dr, Broomfield, CO 80021-2518 — (720) 848-0000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0008875 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 97201 (MT)
Physician Assistant Taxonomy 363A00000X · Licence PA9109426 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.0008875 (CO)

Record details

NPI number1053863746
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , ATC
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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