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

Kirsten Anne Revitte

Individual provider Physician Assistant · NPI 1124636568

Kirsten Anne Revitte is a Physician Assistant in Boulder, Colorado. Qualified in 2020, 6 years ago. Practices with K2 Dermatology LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
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Practice location Address checks out

3434 47th St Ste 200
Boulder, CO 80301-1817
Phone: (303) 444-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3002 W Elizabeth St Unit 16b, Fort Collins, CO 80521-7526 — (303) 638-5859

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006491 (CO)

Record details

NPI number1124636568
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice K2 Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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