Individual provider Active NPI

Ellie Titarenko, NP

  • Adult Health Nurse Practitioner
  • Arvada, CO
National Provider Identifier
1164801841
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0991934-NP Issued in CO
Practice address
10050 Ralston Rd Ste 1
Arvada, CO 80004-4974
Phone
(720) 583-6145
Fax
(720) 502-4373
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F0415091 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0991934-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0991934-NP CO Primary

Addresses

Primary practice location

10050 Ralston Rd Ste 1
Arvada, CO 80004-4974

Mailing address

10050 Ralston Rd Ste 1
Arvada, CO 80004-4974
Phone (720) 583-6145

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
I20160111000215 CO Practitioner - Nurse Practitioner 4183926090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zmily Health Group IncGroup PAC ID 8022396969, 7 clinicians

Practice addresses (Care Compare)

2851 S Parker Rd
Suite 100
Aurora, CO 80014-2706
Phone (720) 400-5295

Hospital & facility affiliations

  • Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0415091COMDAcute Care Nurse Practitioner
APN.0991934-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A C Enterprises, LLC CurrentSince Apr 1, 2021 Accepting new patients
Phenom Sports and Rehabilitation Current Accepting new patients
5280 Medical Concierge Inc CurrentSince Dec 1, 2020 Accepting new patients
Zmily Health Group Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

10050 Ralston Rd
Ste 1
Arvada, CO 80004
Phone (303) 500-7070

2851 S Parker Rd
Ste 100
Aurora, CO 80014
Phone (720) 400-5295

Interoperability endpoints

  • Direct secure messaging: ellie.titarenko.1@22564.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1164801841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 RALSTON RD STE 1",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044974",
            "telephone_number": "720-583-6145",
            "fax_number": "720-583-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 RALSTON RD STE 1",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044974",
            "telephone_number": "720-583-6145",
            "fax_number": "720-502-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITARENKO",
        "first_name": "ELLIE",
        "name_prefix": "Prof.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-07-26",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "F0415091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0991934-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0991934-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.