NPIMap

Individual provider Active NPI

Gemma Stella, NP-C

  • Family Nurse Practitioner
  • Louisville, CO
National Provider Identifier
1043661226
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992433-NP Issued in CO
Practice address
90 Health Park Dr
Ste 350
Louisville, CO 80027-9757
Phone
(303) 269-2700
Fax
(303) 269-2690
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992433-NP CO Primary

Addresses

Primary practice location

90 Health Park Dr
Ste 350
Louisville, CO 80027-9757

Mailing address

90 Health Park Dr
Ste 350
Louisville, CO 80027-9757
Phone (303) 269-2700

Other identifiers 1

IdentifierTypeStateIssuer
76685047MedicaidCO

Other names 1

  • Gemma Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000259 CO Practitioner - Nurse Practitioner 1759669013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peak Internal MedicineGroup PAC ID 3678827672, 3 clinicians

Practice addresses (Care Compare)

400 S McCaslin Blvd
Suite 200
Superior, CO 80027-9701
Phone (720) 222-0648

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients

Locations

400 S McCaslin Blvd
Ste 200
Superior, CO 80027
Phone (720) 222-0648

Organizations & group practices 1

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1043661226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "STE 350",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-269-2700",
            "fax_number": "303-269-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "STE 350",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-269-2700",
            "fax_number": "303-269-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLA",
        "first_name": "GEMMA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992433-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76685047",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.