Amy Hulstrom, PA-C
NPI 1871984278ActiveIndividual· Physician Assistant· Longmont, CO
Physician Assistant (PA-C) with Poudre Valley Medical Group LLC, practicing in Longmont, Colorado. Their prescriptions cost Medicare Part D more than their services did: $170,987 for 1,943 claims, against $21,223 paid for services in 2024. Lists Longs Peak Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1871984278 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Feb 7, 2015 |
| Last updated in NPPES | Nov 1, 2023 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA.0000727 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 164 |
|---|---|
| Services billed | 703 across 56 procedure codes |
| Paid by Medicare | $21,223 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,943 · 4,421 30-day fills |
|---|---|
| Patients | 339 |
| Total drug cost | $170,987 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliations
- Longs Peak HospitalLongmont, CO
- Uchealth Broomfield HospitalBroomfield, CO
- University of Colorado Hospital AuthorityAurora, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Longmont
- 1053314310
- 1073109476
- 1093100067
- 1104487875
- 1215919907
- 1225556111
- 1225798648
- 1275664047
- 1356047625
- 1356721393
- 1396141289
- 1437450996
All 92 physician assistants in Longmont · All physician assistants in Colorado