NPIMap

Individual provider Active NPI

Natalia C Spencer, NP

  • Adult Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1235648890
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0993309-NP Issued in CO
Practice address
1526 Cole Blvd Ste 300
Lakewood, CO 80401-3410
Phone
(303) 379-9371
Fax
(303) 284-4082
NPI assigned
Sep 27, 2017
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0993309-NP CO Primary

Addresses

Primary practice location

1526 Cole Blvd Ste 300
Lakewood, CO 80401-3410

Mailing address

10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742
Phone (720) 548-1194

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
I20171012000154 CO Practitioner - Nurse Practitioner 4183999410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wisdom Health PCGroup PAC ID 4284762501, 11 clinicians

Practice addresses (Care Compare)

350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone (303) 938-1110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993309-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Health PC Geriatric Medicine CurrentSince Jan 14, 2019 Accepting new patients

Locations

2919 Valmont Rd
Ste 204
Boulder, CO 80301
Phone (303) 938-1110

Interoperability endpoints

  • Direct secure messaging: natalia.spencer@96713091579908.direct.elationemr.com

Organizations & group practices 1

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1235648890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332742",
            "telephone_number": "720-548-1194",
            "fax_number": "303-423-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-379-9371",
            "fax_number": "303-284-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NATALIA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0993309-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.