Active NPI
Rebekah Lynn Petkoff, FNP-BC
- Family Nurse Practitioner
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000156-C-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.The Little Clinic of Colorado, LLC
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000156-C-NP | CO | MD | Family Nurse Practitioner |
| 13686 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| The Little Clinic of Colorado, LLC | Family | Current | Accepting new patients |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Health Colorado, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Past | 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
- https://fhir4.healow.com/fhir/r4/BDCBAA/Endpoint/BDCBAA
- provider@direct.onemedical.com
- rebekah.petkoff@krogerhealth.eclinicaldirectplus.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.