Individual provider Active NPI

Stefany R Testerman, FNP-C

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1073780151
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
005795-NP Issued in CO
Practice address
6551 S Revere Pkwy Ste 270
Centennial, CO 80111-6471
Phone
(303) 210-6843
Fax
(720) 596-4576
NPI assigned
May 8, 2008
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-5795 CO
Family Nurse Practitioner 363LF0000X 005795-NP CO Primary
Family Nurse Practitioner 363LF0000X RXP-1058 CO

Addresses

Primary practice location

6551 S Revere Pkwy Ste 270
Centennial, CO 80111-6471

Mailing address

6551 S Revere Pkwy Ste 270
Centennial, CO 80111-6471
Phone (303) 210-6843

Other practice location 1

7200 E Dry Creek Rd Ste A201
Centennial, CO 80112
Phone (303) 210-6843

Other practice location 2

8200 E Belleview Ave
Suite 600E
Greenwood Village, CO 80111-2803
Phone (720) 493-3406

Other practice location 3

4155 E Jewell Ave Ste 714
Denver, CO 80222-4515
Phone (303) 210-6843

Other names 1

  • Stefany R Carstensen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005795-NPCOMDFamily Nurse Practitioner
NP-5795COMDFamily Nurse Practitioner
RXP-1058COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1073780151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 270",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116471",
            "telephone_number": "303-210-6843",
            "fax_number": "720-596-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S REVERE PKWY STE 270",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116471",
            "telephone_number": "303-210-6843",
            "fax_number": "720-596-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 E Dry Creek Rd Ste A201",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "303-210-6843",
            "fax_number": "720-385-1838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 E Belleview Ave",
            "address_2": "Suite 600E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112803",
            "country_code": "US",
            "telephone_number": "720-493-3406",
            "fax_number": "303-643-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 E Jewell Ave Ste 714",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224515",
            "country_code": "US",
            "telephone_number": "303-210-6843",
            "fax_number": "720-385-1838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESTERMAN",
        "first_name": "STEFANY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-5795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "005795-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXP-1058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANY",
            "last_name": "CARSTENSEN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.