Kyle William Mueller, DNP, APRN, A-GNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Wheat Ridge, CO
NPI 1104434935 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1104434935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- APN.0995710-NP (CO)
- Practice address
- 10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742 - Phone
- (303) 993-1330
- NPI assigned
- Jul 17, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Housecalls LLC
Practice addresses (Care Compare)
12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250
Hospital & facility affiliations
- Bayada Home Health Care Inc
- Optimal Home Care Inc
- A Peaceful Journey Hospice
- Bloom Hospice
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 |
|---|---|---|---|---|
| I20200805000442 | CO | Practitioner - Nurse Practitioner | 6709201973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Housecalls LLC | Current |
Accepting new patients |
Locations
12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000
10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CICGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN.0995710-NP | CO | |
| Primary Care Nurse Practitioner | 363LP2300X | APN.0995710-NP | CO | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.0995710-NP | CO | Yes |
Addresses
Primary practice location
10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742
Mailing address
7247 Hyde Park Rd
Whitehall, MI 49461-9577
Phone (231) 670-5257
Other providers in Wheat Ridge, CO
- Mountainoccupationalmedicine LLC
- Moving Points Acupuncture
- Nelson Mozia
- Mt Acquisiitons, LLC
- Michelle Lynn Mudge-Davis
- Gregory Lee Muench
- Mary Jayne Muggli
- Julia Muir
- Christina Mulkey
- Christina Joy Mulkey
All providers in Wheat Ridge, CO · Gerontology 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 Jul 17, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.