Individual provider Active NPI

Christine Jane Peterson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1144379116
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99490 Issued in CO
Practice address
6455 S Yosemite St
6TH Floor
Greenwood Village, CO 80111-5139
Phone
(303) 718-2964
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0004628 CO
Family Nurse Practitioner 363LF0000X 99490 CO Primary

Addresses

Primary practice location

6455 S Yosemite St
6TH Floor
Greenwood Village, CO 80111-5139

Mailing address

4003 W 119TH Mews
Westminster, CO 80031-5027
Phone (720) 315-5612

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Christine.peterson@compassus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, IL, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20090626000082 CO Practitioner - Nurse Practitioner 4981755261 Reassigns benefits to 1 organization
I20240131001744 MI Practitioner - Nurse Practitioner 4981755261 Reassigns benefits to 1 organization
I20240209002404 IL Practitioner - Nurse Practitioner 4981755261 Reassigns benefits to 1 organization
I20240614003346 WA Practitioner - Nurse Practitioner 4981755261 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0004628COMDFamily Nurse Practitioner
99490COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Apr 21, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 27, 2023 Accepting new patients
Tender Hearts Internal Medicine & Geriatric Care PC PastSince Dec 1, 2015 Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • Direct secure messaging: christine.peterson@compassus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1144379116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W 119TH MEWS",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800315027",
            "telephone_number": "720-315-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S YOSEMITE ST",
            "address_2": "6TH FLOOR",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115139",
            "telephone_number": "303-718-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINE",
        "middle_name": "JANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0004628",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "99490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Christine.peterson@compassus.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2420 W 26th Ave Ste 200D",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802115303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.