Individual provider Active NPI

Rebekah Lynn Petkoff, FNP-BC

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1003069774
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000156-C-NP Issued in CO
Practice address
12959 S Parker Rd
Parker, CO 80134-3447
Phone
(720) 842-4089
Fax
(720) 842-4090
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 13686 TN
Family Nurse Practitioner 363LF0000X 0000156-C-NP CO Primary

Addresses

Primary practice location

12959 S Parker Rd
Parker, CO 80134-3447

Mailing address

1560 S Ash St
Denver, CO 80222-3703
Phone (615) 969-0007

Other practice location 1

1080 S Sable Blvd Unit 17-18
Aurora, CO 80012-3796
Phone (303) 552-9577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140530000233 CO Practitioner - Nurse Practitioner 2961556980 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Health Colorado, P.C.Group PAC ID 8426323114, 42 clinicians
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians

Practice addresses (Care Compare)

1080 S Sable Blvd
Unit 18
Aurora, CO 80012-3796
Phone (303) 552-9577

19711 E Smoky Hill Rd
Centennial, CO 80015-5194
Phone (303) 459-5634

3400 Youngfield St
Wheat Ridge, CO 80033-5245
Phone (303) 459-5645

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631
Phone (719) 325-0342

6000 S Holly St
Greenwood Village, CO 80111-4251
Phone (720) 200-6920

7984 W Alameda Ave
Lakewood, CO 80226-3025
Phone (303) 459-7105

9551 S University Blvd
Highlands Ranch, CO 80126-8117
Phone (303) 459-5639

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000156-C-NPCOMDFamily Nurse Practitioner
13686TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Colorado, P.C. CurrentSince Mar 24, 2025 Accepting new patients
Iora Health Colorado, P.C. CurrentSince Mar 24, 2025 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince May 6, 2014 Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 24, 2025 Accepting new patients
Iora Health Colorado, P.C. Current Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 24, 2025 Accepting new patients
Iora Senior Health, LLC PastSince Oct 21, 2025 Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

1080 S Sable Blvd
Unit 18
Aurora, CO 80012
Phone (303) 552-9577

1080 S Sable Blvd
Unit 1718
Aurora, CO 80012
Phone (303) 552-9577

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

12959 S Parker Rd
Parker, CO 80134
Phone (303) 840-7683

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCBAA/Endpoint/BDCBAA
  • Direct secure messaging: provider@direct.onemedical.com
  • Direct secure messaging: rebekah.petkoff@krogerhealth.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDCBAA

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003069774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S ASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223703",
            "telephone_number": "615-969-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343447",
            "telephone_number": "720-842-4089",
            "fax_number": "720-842-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 S Sable Blvd Unit 17-18",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800123796",
            "country_code": "US",
            "telephone_number": "303-552-9577",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETKOFF",
        "first_name": "REBEKAH",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0000156-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.