Karen Lee Hessler, APN
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Evans, CO
NPI 1104125327 · NPPES record last updated Oct 25, 2013
Key facts
- NPI
- 1104125327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 3582 (CO)
- Practice address
- 2930 11TH Ave
Evans, CO 80620-1011 - Phone
- (970) 353-9403
- Fax
- (970) 353-9906
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- Sole proprietor
- No
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110804000019 | CO | Order and Referring Only - Nurse Practitioner | 0345419537 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110682 | CO | MD | Registered Nurse |
| 3582 | CO | MD | Obstetrics & Gynecology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 110682 | CO | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 3582 | CO | Yes |
Addresses
Primary practice location
2930 11TH Ave
Evans, CO 80620-1011
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73053589 | Medicaid | CO |
Other providers in Evans, CO
- Libby Goode-Grasmick
- Grayco,Inc.
- Whitney Hayes
- Cassandra L Herrera
- Jessica Herron
- Jesse Hines
- Sarah Florence Hodack
- Homefront Health and Occupational Medicine LLC
- Isaac Moses Hotz
- Sandra Gayle Hoyman
All providers in Evans, CO · Obstetrics & Gynecology Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.