Grace Ann Staehlin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0993934-NP Issued in CO

Practice address

2355 W 136TH Ave
Broomfield, CO 80023-9331

Phone

(303) 658-9827

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Colorado-Professional LLCGroup PAC ID 4183941834, 17 clinicians

Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Porter Hospital, Denver, CO, CCN 060064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Parker, CO
  • NPI 1114331006
  Medicare reassignment Care Compare group NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  CO

  Medicare reassignment Care Compare group NPD
• The Little Clinic of Colorado, LLC

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1538354568
  Medicare reassignment NPD
• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lakewood, CO
  • NPI 1114559572
  NPD

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

• Portercare Adventist Health System

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  Care Compare affiliation

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1164991238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 W 136TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239331",
            "telephone_number": "303-658-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHLIN",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993934-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Q Spooner, MSSW, LCSW
• Paul Victor Springer, PA-C
• Sprouts Psychiatry
• M Nabi Sroosh, MASTERS
• Jenny St. Claire, MA, LPCC
• Dana Stanek
• Martha Stangoni, RN, MSN
• Eleanor Stanish
• Brian Stanley, OD
• John Kevin Stanton, D.O.

• Family Nurse Practitioner in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.