Individual provider Active NPI

Emily Kathryn Nesbitt

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1225667173
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0073278 Issued in CO
Practice address
125 Rampart Way Ste 220
Denver, CO 80230-6429
Phone
(303) 261-1525
NPI assigned
Apr 3, 2020
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0073278 CO Primary

Addresses

Primary practice location

125 Rampart Way Ste 220
Denver, CO 80230-6429

Mailing address

125 Rampart Way Ste 220
Denver, CO 80230-6429
Phone (303) 261-1525

Other practice location 1

3455 S Yarrow St
Lakewood, CO 80227-5031
Phone (303) 989-5231

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240720000496 CO Practitioner - Dermatology 2466857081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Dermatology LLCGroup PAC ID 0143208827, 21 clinicians

Practice addresses (Care Compare)

125 Rampart Way
Suite 220
Denver, CO 80230-6429
Phone (303) 261-1525

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions477
Removal or shaving of skin growth12
Skin biopsy148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0073278COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Theriault, MD, PC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Center for Advanced Dermatology LLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients

Locations

125 Rampart Way
Ste 220
Denver, CO 80230
Phone (303) 261-1525

3455 S Yarrow St
Lakewood, CO 80227
Phone (303) 848-3047

1420 W Canal Ct
Ste 50
Littleton, CO 80120
Phone (303) 795-2030

Interoperability endpoints

  • Direct secure messaging: enesbitt@center4advderm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1225667173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "303-261-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306429",
            "telephone_number": "303-261-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 S Yarrow St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275031",
            "country_code": "US",
            "telephone_number": "303-989-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0073278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.