NPIMap

Individual provider Active NPI

Kelly Joyner, NP-C

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1184397291
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0996754-NP Issued in CO
Practice address
6011 E Woodmen Rd Ste 120
Colorado Springs, CO 80923-2603
Phone
(719) 571-8600
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 APN.0996754 CO
Nurse Practitioner 363L00000X APN.0996754-NP CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 120
Colorado Springs, CO 80923-2603

Mailing address

5645 Old Farm Ter
Colorado Springs, CO 80917-1170
Phone (681) 753-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825001177 CO Practitioner - Nurse Practitioner 0547665838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 210
Colorado Springs, CO 80907-5798
Phone (719) 960-0363

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996754COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC CurrentSince Jul 1, 2023 Accepting new patients
CS Cardiology Newco LLC CurrentSince Jul 1, 2023 Accepting new patients
CS Cardiology Newco LLC Past Accepting new patients
CS Cardiology Newco LLC Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 105
Colorado Springs, CO 80907

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

1 Mercado St
Ste 130
Durango, CO 81301
Phone (970) 247-1120

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1184397291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 OLD FARM TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171170",
            "telephone_number": "681-753-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-571-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "KELLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996754",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996754-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.