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

Lisa M Habersbrunner, PA

Individual provider Medical Physician Assistant · NPI 1598837627

Lisa M Habersbrunner, PA is a Physician Assistant in Aurora, Colorado. Qualified in 2006, 20 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
20
Licensed in
CO, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12505 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11820 Destination Dr, Broomfield, CO 80021-2518 — (720) 848-0000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0005688 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2057-023 (WI)

Record details

NPI number1598837627
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 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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