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

MS. Dawn M Malsom, PAC

Individual provider Physician Assistant · NPI 1275664047

MS. Dawn M Malsom, PAC is a Physician Assistant in Longmont, Colorado. Qualified in 2002, 24 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.

Years since qualifying
24
Licensed in
CO
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone: (720) 718-7000
Fax: (720) 718-0973
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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 — (303) 464-4940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1664 (CO)

Record details

NPI number1275664047
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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