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

Individual provider Physician Assistant · NPI 1164025292

Teryn Mori, PA-C is a Physician Assistant in Boulder, Colorado. Qualified in 2021, 5 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2020
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

4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Phone: (303) 449-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 154 Colley Ave, Norfolk, VA 23510-1007 — (757) 446-7158

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006803 (CO)

Record details

NPI number1164025292
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 20, 2020
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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