Individual provider Active NPI

Karley Boltjes, FNP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1124751342
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997716-NP Issued in CO
Practice address
900 Eggleston St
Fort Collins, CO 80524-9615
Phone
(970) 567-3240
NPI assigned
Jul 5, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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.0997716-NP CO Primary

Addresses

Primary practice location

900 Eggleston St
Fort Collins, CO 80524-9615

Mailing address

900 Eggleston St
Fort Collins, CO 80524-9615
Phone (970) 567-3240

Other practice location 1

2301 House Ave Ste 301
Cheyenne, WY 82001-3178
Phone (307) 637-1600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kboltjes70057@direct.crmcwy.org Health Information Exchange (HIE) Cheyenne Regional Physicians Group, LLC
Direct Messaging Address kboltjes70057@direct.crmcwy.org Direct Cheyenne Regional Physicians Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221003000809 CO Practitioner - Nurse Practitioner 4789060591 Reassigns benefits to 1 organization
I20260130002862 WY Practitioner - Nurse Practitioner 4789060591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians

Practice addresses (Care Compare)

2301 House Ave
Suite 301
Cheyenne, WY 82001-3178
Phone (307) 637-1600

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997716-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Regional Physicians Group, LLC CurrentSince Mar 9, 2026 Accepting new patients
Harmony Medical Group, LLC CurrentSince Sep 3, 2023 Accepting new patients
Cheyenne Children's Clinic, PC Past Accepting new patients

Locations

2244 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 226-1117

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

2301 House Ave
Ste 301
Cheyenne, WY 82001
Phone (307) 637-1600

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kboltjes70057@direct.crmcwy.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1124751342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EGGLESTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249615",
            "telephone_number": "970-567-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EGGLESTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249615",
            "telephone_number": "970-567-3240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 House Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013178",
            "country_code": "US",
            "telephone_number": "307-637-1600",
            "fax_number": "307-637-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTJES",
        "first_name": "KARLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997716-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboltjes70057@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Cheyenne Regional Physicians Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kboltjes70057@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Cheyenne Regional Physicians Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 E 23rd St",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820013748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.