Individual provider Active NPI

Kristin Marie Pazdernik, PMHNP-BC, MSN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1164258703
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1000073 Issued in CO
Practice address
11027 S Pikes Peak Dr
#202
Parker, CO 80138
Phone
(720) 432-1222
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1000073 CO Primary

Addresses

Primary practice location

11027 S Pikes Peak Dr
#202
Parker, CO 80138

Mailing address

5647 Palmia LN
Parker, CO 80134-6183
Phone (714) 402-0604

Other practice location 1

2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone (720) 507-4779

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
I20250330000063 CO Practitioner - Nurse Practitioner 8729501812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1000073COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry, LLC Psychiatric/Mental Health CurrentSince Mar 27, 2025 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health CurrentSince Mar 27, 2025 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

Interoperability endpoints

  • Direct secure messaging: kristin.pazdernik.1@27879.direct.athenahealth.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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1164258703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 PALMIA LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346183",
            "telephone_number": "714-402-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR",
            "address_2": "#202",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80138",
            "telephone_number": "720-432-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2675 S Abilene St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142363",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZDERNIK",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1000073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.