Individual provider Active NPI

Rachel L Stolley, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1124017967
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001478 Issued in CO
Practice address
1001 S Perry St Ste 104B
Castle Rock, CO 80104
Phone
(720) 485-3178
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001484 NV
Family Nurse Practitioner 363LF0000X 0001478 CO Primary

Addresses

Primary practice location

1001 S Perry St Ste 104B
Castle Rock, CO 80104

Mailing address

17780 Charter Pines Dr
Monument, CO 80132-8470
Phone (702) 839-8116

Other practice location 1

1712 Bearden Dr
Las Vegas, NV 89106-4107
Phone (703) 733-6622

Other practice location 2

17780 Charter Pines Dr
Monument, CO 80132-8470
Phone (702) 839-8116

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
I20191031003049 CO Practitioner - Nurse Practitioner 8820391998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartlight Family Clinic LLCGroup PAC ID 5597046219, 15 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1001 S Perry St
Suite 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

10470 S Progress Way
Parker, CO 80134-4037
Phone (303) 617-4700

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001478COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Medical LLC Family Current Accepting new patients

Locations

1411 S Potomac St
Ste 300
Aurora, CO 80012
Phone (303) 531-4910

1411 S Potomac St
Ste 140
Aurora, CO 80012
Phone (303) 337-3937

1001 S Perry St
Ste 104B
Castle Rock, CO 80104
Phone (303) 325-3901

3400 E Bayaud Ave
Ste 333
Denver, CO 80209
Phone (720) 485-3178

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIICD/Endpoint/FEIICD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1124017967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17780 CHARTER PINES DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328470",
            "telephone_number": "702-839-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80104",
            "telephone_number": "720-485-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Bearden Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064107",
            "country_code": "US",
            "telephone_number": "703-733-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17780 Charter Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801328470",
            "country_code": "US",
            "telephone_number": "702-839-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLLEY",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0001478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.