Individual provider Active NPI

Kelly Elizabeth Critchley, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1265951990
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998206-NP Issued in CO
Practice address
1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone
(303) 600-8563
Fax
(877) 805-7372
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1638378 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998206-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RXN.0107186-NP CO

Addresses

Primary practice location

1923 W Colorado Ave
Colorado Springs, CO 80904-3838

Mailing address

1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone (303) 600-8563

Other identifiers 1

IdentifierTypeStateIssuer
9000158495MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230428000571 CO Practitioner - Nurse Practitioner 6103281019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Mental Wellness LLCGroup PAC ID 5193201184, 5 clinicians

Practice addresses (Care Compare)

1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone (303) 600-8563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1638378COMDRegistered Nurse
APN.0998206-NPCOMDPsychiatric/Mental Health Nurse Practitioner
RXN.0107186-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bundukamara Inc Psychiatric/Mental Health CurrentSince Jan 31, 2023 Accepting new patients
Elevate Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Dec 15, 2025 Accepting new patients

Locations

1923 W Colorado Ave
Colorado Springs, CO 80904
Phone (303) 600-8563

3720 Sinton Rd
Ste 104
Colorado Springs, CO 80907
Phone (719) 493-9555

450 W Jefferson Ave
Englewood, CO 80110
Phone (303) 217-8600

1401 N Elizabeth St
Ste B
Pueblo, CO 81003
Phone (303) 600-8563

Interoperability endpoints

  • Direct secure messaging: springbokhealth.kellycritchley@152930.advancedmd-direct.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1265951990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043838",
            "telephone_number": "303-600-8563",
            "fax_number": "877-805-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043838",
            "telephone_number": "303-600-8563",
            "fax_number": "877-805-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHLEY",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1638378",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998206-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RXN.0107186-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000158495",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.