Individual provider Active NPI

Kelsey Jeannine Sherman, MD

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1245734755
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0062862 Issued in CO
Practice address
200 Union Blvd Ste 311
Lakewood, CO 80228-1831
Phone
(303) 566-7170
Fax
(303) 566-7172
NPI assigned
Mar 20, 2018
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0062862 CO Primary

Addresses

Primary practice location

200 Union Blvd Ste 311
Lakewood, CO 80228-1831

Mailing address

200 Union Blvd Ste 311
Lakewood, CO 80228-1831
Phone (303) 566-7170

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
I20220324002521 CO Practitioner - Family Practice 2961759451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Mountain Partners for Health PLLCGroup PAC ID 9436470648, 5 clinicians

Practice addresses (Care Compare)

200 Union Blvd
Suite 311
Lakewood, CO 80228-1831
Phone (303) 566-7170

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062862COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Mountain Partners for Health PLLC CurrentSince Feb 1, 2022 Accepting new patients
Ovella Health LLC Family Medicine Current Accepting new patients

Locations

200 Union Blvd
Ste 311
Lakewood, CO 80228
Phone (303) 566-7170

Interoperability endpoints

  • Direct secure messaging: kelsey.sherman@365554907938820.direct.elationemr.com

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1245734755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 311",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281831",
            "telephone_number": "303-566-7170",
            "fax_number": "303-566-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 311",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281831",
            "telephone_number": "303-566-7170",
            "fax_number": "303-566-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KELSEY",
        "middle_name": "JEANNINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0062862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.