Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julie Ann Caballero, PA-C, MPAS

Individual provider Physician Assistant · NPI 1154671295

Julie Ann Caballero, PA-C, MPAS is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2012, 14 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Indiana.

Years since qualifying
14
Licensed in
CO, IN
In the registry since
2012
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

1400 E Boulder St Ste 600
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 — (719) 776-6700
  • 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920-7836 — (719) 364-8346

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004164 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 99053793A (IN)

Record details

NPI number1154671295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPAS
Sole proprietorNo
NPI enumeratedSeptember 17, 2012
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

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 Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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