Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Stanley Henry Podolski IV, PA-C

Individual provider Physician Assistant · NPI 1588035224

Mr. Stanley Henry Podolski IV, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2015, 11 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Licensed in
CO
In the registry since
2015
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

1400 E Boulder St Ste 600
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9051 Ssg Chris Falkel Dr Unit 200, Highlands Ranch, CO 80129-3192 — (720) 516-0600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004454 (CO)

Record details

NPI number1588035224
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients34
Services billed 75 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

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