Individual provider Active NPI

Grace Nolde-Lopez, NP

  • Adult Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1043432834
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN79176 Issued in CO
Practice address
3425 S Clarkson St
Englewood, CO 80113-2811
Phone
(303) 789-8220
Fax
(303) 789-8470
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN79176 CO Primary

Addresses

Primary practice location

3425 S Clarkson St
Englewood, CO 80113-2811

Mailing address

3425 S Clarkson St
Englewood, CO 80113-2811
Phone (303) 789-8220

Other practice location 1

1920 N High St
Denver, CO 80218-1213
Phone (662) 803-5799

Other names 1

  • Grace Ann Nolde Former name

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
I20230117001881 CO Practitioner - Nurse Practitioner 4789981341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Rehabilitation Consultants IncGroup PAC ID 2769883297, 4 clinicians

Practice addresses (Care Compare)

1920 N High St
Denver, CO 80218-1213
Phone (662) 803-5799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN79176COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Rehabilitation Consultants Inc CurrentSince Dec 1, 2022 Accepting new patients
CNS Medical Group, PC CurrentSince Aug 13, 2025 Accepting new patients

Locations

1920 N High St
Denver, CO 80218
Phone (303) 220-9948

4650 Central Park Blvd
Denver, CO 80238
Phone (662) 803-5799

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

3425 S Clarkson St
Englewood, CO 80113
Phone (303) 789-8000

Networks

  • CO HMO C-SNP
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Organizations & group practices 2

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1043432834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8220",
            "fax_number": "303-789-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S CLARKSON ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132811",
            "telephone_number": "303-789-8220",
            "fax_number": "303-789-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 N High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181213",
            "country_code": "US",
            "telephone_number": "662-803-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLDE-LOPEZ",
        "first_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "RN79176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "NOLDE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.