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

Daniel James Realini, MPAS, PA--C

Individual provider Physician Assistant · NPI 1619218088

Daniel James Realini, MPAS, PA--C is a Physician Assistant in Usaf Academy, Colorado. Qualified in 2012, 14 years ago. Practices with Peak Vista Community Health Centers, a 127-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
14
Licensed in
CO
In the registry since
2013

Practice location Address checks out

4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone: (719) 684-5115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0007840 (CO)

Record details

NPI number1619218088
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA--C
Sole proprietorNo
NPI enumeratedMarch 11, 2013
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Peak Vista Community Health Centers — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Usaf Academy