Individual provider Active NPI

Allie Deroo, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1124990825
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.1001160-NP Issued in CO
Practice address
1919 Mile High Stadium Cir Apt 804
Denver, CO 80204-2766
Phone
(309) 912-4667
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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.1001160-NP CO Primary

Addresses

Primary practice location

1919 Mile High Stadium Cir Apt 804
Denver, CO 80204-2766

Mailing address

1919 Mile High Stadium Cir Apt 804
Denver, CO 80204-2766
Phone (309) 912-4667

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
I20251113004436 CO Practitioner - Nurse Practitioner 9234620683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

7750 S Broadway
200 Littleton Gynecology and Wellness
Littleton, CO 80122-2630
Phone (303) 730-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1001160-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates CurrentSince Oct 20, 2025 Accepting new patients
OB-GYN Affiliates CurrentSince Oct 20, 2025 Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

7720 S Broadway
Ste 440
Littleton, CO 80122
Phone (303) 795-0890

7750 S Broadway
Ste 200
Littleton, CO 80122
Phone (303) 649-3710

10107 Ridgegate Pkwy
Ste 320
Lone Tree, CO 80124
Phone (303) 795-0890

Interoperability endpoints

  • Direct secure messaging: allie.deroo.1@8558.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1124990825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 MILE HIGH STADIUM CIR APT 804",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042766",
            "telephone_number": "309-912-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 MILE HIGH STADIUM CIR APT 804",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042766",
            "telephone_number": "309-912-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROO",
        "first_name": "ALLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1001160-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.