Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Whittaker, PA-C

Individual provider Physician Assistant · NPI 1235257346

Lisa M Whittaker, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 1998, 28 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Pennsylvania.

Years since qualifying
28
Licensed in
CO, PA
In the registry since
2007
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

2121 E Harmony Rd Ste 230
Fort Collins, CO 80528-3400
Phone: (970) 266-8822
Fax: (970) 266-8833
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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.0003260 (CO)
Physician Assistant Taxonomy 363A00000X · Licence MA-002706-L (PA)

Record details

NPI number1235257346
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESMarch 21, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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