Keasha Nohelani Kuhnen

Individual provider Active NPI Emergency Medicine Physician · Fort Collins, CO

NPI 1003126541 · NPPES record last updated Feb 18, 2014

Key facts

NPI
1003126541
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
52123 (CO)
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(303) 306-7783
Fax
(303) 306-7753
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of the Rockies, PC (76 clinicians)

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7000

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital · Fort Collins, CO · CCN 060010
  • Medical Center of the Rockies Hospital · Loveland, CO · CCN 060119
  • Uchealth Greeley Hospital Hospital · Greeley, CO · CCN 060131

Merit-based Incentive Payment System (MIPS)

Final score
93.04 of 100 (group)
Quality
87.35
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130722000313 CO Practitioner - Emergency Medicine 6406020007 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
52123COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of the Rockies, PC Emergency Medicine Current
since Jul 1, 2013
Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine Current
since Jul 1, 2013
Accepting new patients
Hi-Desert Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A11399 CA
Emergency Medicine Physician 207P00000X 52123 CO Yes

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

PO Box 912215
Denver, CO 80291-2215
Phone (303) 306-7783

Other identifiers

IdentifierTypeStateIssuer
07276761MedicaidCO

Other names

  • Keasha Nohelani Hoffman Former name

Other providers in Fort Collins, CO

All providers in Fort Collins, CO · Emergency Medicine Physician in Colorado

Sources for this page

Verify at the official NPI Registry.