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

Dominica Annabeth Hadley, PA-C

Individual provider Physician Assistant · NPI 1275204802

Dominica Annabeth Hadley, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2023, 3 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Minnesota.

Years since qualifying
3
Licensed in
CO, MN
In the registry since
2021
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

2101 Ken Pratt Blvd Ste 104A
Longmont, CO 80501-6568
Phone: (303) 415-4155
Fax: (303) 776-3109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0002 — (507) 284-2511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009638 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 14612 (MN)

Record details

NPI number1275204802
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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