Individual provider Active NPI

Stephanie Marie Petersen Dupuis, FNP-C

  • Family Nurse Practitioner
  • Arvada, CO
National Provider Identifier
1114691102
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996664-NP Issued in CO
Practice address
6550 Yank Way
Arvada, CO 80004-2200
Phone
(303) 424-6550
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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.0996664-NP CO Primary

Addresses

Primary practice location

6550 Yank Way
Arvada, CO 80004-2200

Mailing address

295 E Speer Blvd Apt 400
Denver, CO 80203-3580
Phone (917) 232-9853

Other practice location 1

2440 S Wabash St
Denver, CO 80231-3808
Phone (720) 405-0500

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831002504 CO Practitioner - Nurse Practitioner 1557767522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Storms Allergy Clinic PCGroup PAC ID 7810925781, 12 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 190
Colorado Springs, CO 80907-8721
Phone (719) 955-6000

4535 Milestone LN
Castle Rock, CO 80104-7918
Phone (719) 955-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996664-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care NPS Inc CurrentSince Jul 6, 2021 Accepting new patients
Artemis Healthcare Services LLC CurrentSince Nov 16, 2023 Accepting new patients
Agape Palliative Services, LLC PastSince Nov 16, 2023 Accepting new patients

Locations

6041 S Syracuse Way
Ste 220
Greenwood Village, CO 80111
Phone (720) 482-1988

12081 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 551-3643

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1114691102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E SPEER BLVD APT 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033580",
            "telephone_number": "917-232-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YANK WAY",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042200",
            "telephone_number": "303-424-6550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 S Wabash St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802313808",
            "country_code": "US",
            "telephone_number": "720-405-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE PETERSEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996664-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.