Individual provider Active NPI

Colleen Deirdre Ihnken, N.P.

  • Nurse Practitioner
  • Edwards, CO
National Provider Identifier
1124193586
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0004820 Issued in CO
Practice address
322 Beard Creek Rd
Edwards, CO 81632-6426
Phone
(970) 949-6100
Fax
(970) 470-6683
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0004820 CO Primary

Addresses

Primary practice location

322 Beard Creek Rd
Edwards, CO 81632-6426

Mailing address

PO Box 40,000
Vail, CO 81658
Phone (970) 949-6100

Other practice location 1

360 Peak One Dr Ste 100
Frisco, CO 80443-5948
Phone (970) 668-4040

Other identifiers 1

IdentifierTypeStateIssuer
RN-85210OtherCOSTATE LICENSE

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
I20080227000718 CO Practitioner - Nurse Practitioner 1153405212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians
Summit Community Care Clinic IncGroup PAC ID 8022284074, 13 clinicians

Practice addresses (Care Compare)

50 Buck Creek Rd
Suite 200
Avon, CO 81620-5428
Phone (970) 926-6350

PO Box
Suite 4337
Frisco, CO 80443

Hospital & facility affiliations

  • St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0004820COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC Family Medicine Current Accepting new patients
VVMC Diversified Services Current Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Sep 1, 2020 Accepting new patients
VVMC Diversified Services CurrentSince Jan 20, 2017 Accepting new patients
VVMC Diversified Services CurrentSince Jan 20, 2017 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Sep 1, 2020 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince May 12, 2018 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince May 12, 2018 Accepting new patients
Colorado Mountain Medical, PC Family Medicine Past Accepting new patients
South Park Medical Group,PC Past Accepting new patients

Locations

365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

322 Beard Creek Rd
Ste 1300
Edwards, CO 81632
Phone (970) 479-7251

360 Peak One Dr
Frisco, CO 80443
Phone (970) 368-6502

360 Peak One Dr
Ste 100
Frisco, CO 80443
Phone (970) 423-4001

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • Direct secure messaging: cihnken770533@direct.ochin.org

Organizations & group practices 10

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1124193586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40,000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "81658",
            "telephone_number": "970-949-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "970-949-6100",
            "fax_number": "970-470-6683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435948",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IHNKEN",
        "first_name": "COLLEEN",
        "middle_name": "DEIRDRE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0004820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN-85210",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.