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Export Provider Record NPI 1134596828
Caitlin Delaney PoelkingPA-C
Active
NPI Number1134596828
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1134596828
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2015-08-28
Last Updated2025-05-07
Mailing Address2614 Avenger Pl Unit 3
Fort Collins, CO 80524-4907
United States
Phone: (301) 275-8300
📍 View Map
Primary Practice Address3351 Eastbrook Dr Ste 200
Fort Collins, CO 80525-5744
United States
Phone: (970) 500-0164
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCO9000153459
Other (non-Medicare)COPA.0005134Colorado State License
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363A00000X – Physician AssistantMDC05841
No363AM0700X – Physician Assistant, MedicalCO
Yes363A00000X – Physician AssistantCOPA.0005134
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About NPI 1134596828

Caitlin Delaney Poelking PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134596828. The primary specialty listed is Physician Assistant. The provider is located in Fort Collins, CO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-08-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134596828?

NPI 1134596828 belongs to Caitlin Delaney Poelking PA-C, a Physician Assistant in Fort Collins, CO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134596828 active?

The current status of NPI 1134596828 in the NPPES registry is Active. The record was last updated on 2025-05-07.

What specialty is NPI 1134596828?

NPI 1134596828 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134596828?

You can verify NPI 1134596828 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134596828?

The primary practice address on file for NPI 1134596828 is 3351 Eastbrook Dr Ste 200, Fort Collins, CO 80525-5744. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134596828 issued?

NPI 1134596828 was first issued (enumerated) on 2015-08-28. The NPPES record was last updated on 2025-05-07.

Practice Location Map

Caitlin Delaney Poelking is located at 3351 Eastbrook Dr Ste 200, Fort Collins, CO. Use the map below to find directions or verify the practice location.

📍 3351 Eastbrook Dr Ste 200, Fort Collins, CO 80525-5744  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Caitlin Delaney Poelking. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1134596828. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician AssistantC05841MD
Physician AssistantPA.0005134CO
Data Verified from CMS NPPES Last synced: 2026-07-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162