Individual provider Active NPI

Nicole Lynn Schoenbrunn

  • Certified Registered Nurse Anesthetist
  • Denver, CO
National Provider Identifier
1235642471
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0993683 Issued in CO
Practice address
10792 E 28TH PL
Denver, CO 80238-3222
Phone
(970) 846-2046
NPI assigned
Nov 9, 2017
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0993683 CO Primary
Registered Nurse 163W00000X RN160526 CO

Addresses

Primary practice location

10792 E 28TH PL
Denver, CO 80238-3222

Mailing address

10792 E 28TH PL
Denver, CO 80238-3222
Phone (970) 846-2046

Other names 1

  • Nicole Lynn Vance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301000170 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466713730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenwood Anesthesia Professionals, PCGroup PAC ID 6800015843, 24 clinicians
Aspen Anesthesia, IncGroup PAC ID 7113065970, 13 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-7564

401 Castle Creek Rd
Aspen, CO 81611-1159
Phone (970) 925-1120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN160526COMDRegistered Nurse
0993683COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Anesthesia Professionals, PC CurrentSince Dec 1, 2025 Accepting new patients
Rocky Mountain State Anesthesia Providers CurrentSince Nov 1, 2018 Accepting new patients
Rocky Mountain State Anesthesia Providers CurrentSince Nov 1, 2018 Accepting new patients
Aspen Anesthesia, Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1235642471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10792 E 28TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383222",
            "telephone_number": "970-846-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10792 E 28TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383222",
            "telephone_number": "970-846-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBRUNN",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "0993683",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN160526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VANCE",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.