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

Individual provider Physician Assistant · NPI 1639574924

MS. Kaitlin M Mossberg, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2014, 12 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Nebraska.

Years since qualifying
12
Licensed in
CO, NE
In the registry since
2014
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

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
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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.0004663 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 1864 (NE)

Record details

NPI number1639574924
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2014
Last updated in NPPESAugust 1, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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