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

Stacy A Willis, PA-C

Individual provider Physician Assistant · NPI 1740418110

Stacy A Willis, PA-C is a Physician Assistant in Denver, Colorado. Qualified in 2009, 17 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado, Maine and Wyoming.

Years since qualifying
17
Licensed in
CO, ME, WY
In the registry since
2009
Specialties on file
3
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

1375 E 20th Ave
Denver, CO 80205-5422
Phone: (303) 338-4545
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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 0004027 (CO)
Physician Assistant Taxonomy 363A00000X · Licence TL529 (WY)
Physician Assistant Taxonomy 363A00000X · Licence PA001171 (ME)

Record details

NPI number1740418110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address10350 E Dakota Ave, Denver, CO 80247-1314

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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