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

Kaitlyn Rose Chavira

Individual provider Physician Assistant · NPI 1619713864

Kaitlyn Rose Chavira is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2025, 1 year ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2024
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Practice location Address checks out

595 Chapel Hills Dr Ste 325
Colorado Springs, CO 80920-1061
Phone: (719) 364-4120
Fax: (719) 364-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009671 (CO)

Record details

NPI number1619713864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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