Kelly Mohr

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0074127 Issued in CO

Practice address

10375 Park Meadows Dr Ste 100
Lone Tree, CO 80124-6736

Phone

(303) 225-0025

Fax

(303) 225-0029

NPI assigned

Mar 20, 2023

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rocky Vista University College of Osteopathic Med, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Networks

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

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1053013714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "303-225-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 PARK MEADOWS DR STE 100",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246736",
            "telephone_number": "303-225-0025",
            "fax_number": "303-225-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 S Potomac St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124541",
            "country_code": "US",
            "telephone_number": "303-531-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHR",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0074127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Miranda, DO
• Shatu Misra, PT
• Laurie Mistr, RN
• Heidi Teresa Mizones, FNP
• Modernmed Supplies, LLC
• Barry L Molk, M.D.
• Sarah Monchak, RN
• Ella-Maisha Moncur, APN, FNP-BC
• Michael James Monnet, LPC
• Mackenzie Blair Montag, PNP

• Family Medicine Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.

Verify at the official NPI Registry.