Kristin Louise Anderson
Individual provider Active NPI Hospitalist Physician · Englewood, CO
NPI 1265744262 · NPPES record last updated Apr 13, 2015
Key facts
- NPI
- 1265744262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- DR.000054170 (CO)
- Practice address
- 501 E Hampden Ave
Englewood, CO 80113-2702 - Phone
- (303) 788-6911
- Fax
- (303) 306-7753
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 23
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Denver Health and Hospital Authority
Practice addresses (Care Compare)
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Hospital & facility affiliations
- Denver Health & Hospital Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 92.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.02
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141027002340 | CO | Practitioner - Internal Medicine |
0446489835 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.000054170 | CO | MD | Internal Medicine Physician |
| R72164 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| Colorado Hospitalist Services, PLLC | Hospitalist | Current |
Accepting new patients |
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| Colorado Hospitalist Services, PLLC | Hospitalist | Current |
Accepting new patients |
| Longs Peak Emergency Physicians, PC | Past | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121
777 Bannock St
Denver, CO 80204
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
Interoperability endpoints
- kanderson243185@direct.dhha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | R72164 | AZ | |
| Hospitalist Physician | 208M00000X | DR.000054170 | CO | Yes |
| Internal Medicine Physician | 207R00000X | DR.000054170 | CO |
Addresses
Primary practice location
501 E Hampden Ave
Englewood, CO 80113-2702
Mailing address
PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52625770 | Medicaid | CO | |
| P01387993 | Other | CO | RAIL ROAD MEDICARE |
Other names
- Kristin Louise Anderson
Other providers in Englewood, CO
- Mark David Andersen-Nissen
- Jadyn Anderson
- Janeen Anderson
- John Erick Anderson
- Julie Linne Anderson
- Kristina Anderson
- Laureen Susan Anderson
- Megan M Andreasen
- Jennifer Andrews
- Angel Hands Assisting Care LLC
All providers in Englewood, CO · Hospitalist Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.