NPIMap

Individual provider Active NPI

Angela Walsh Koons, APRN

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1295204618
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0100812 Issued in CO
Practice address
1554 N Emerson St Unit 5
Denver, CO 80218-1450
Phone
(720) 358-2862
Fax
(833) 358-2800
NPI assigned
Nov 14, 2018
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139684 TX
Family Nurse Practitioner 363LF0000X C-APN.0100812 CO Primary

Addresses

Primary practice location

1554 N Emerson St Unit 5
Denver, CO 80218-1450

Mailing address

1554 N Emerson St Unit 5
Denver, CO 80218-1450
Phone (720) 358-2862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200122000991 TX Practitioner - Nurse Practitioner 1557796554 Reassigns benefits to 1 organization
I20250604001250 CO Practitioner - Nurse Practitioner 1557796554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

2584 Reserve St
Erie, CO 80516-2505

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0100812COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procenture Medical Services LLC CurrentSince Jan 1, 2020 Accepting new patients
Homedoc, PC CurrentSince Apr 3, 2025 Accepting new patients
Tawl Health Care Inc Past Accepting new patients
Tawl Health Care Inc Past Accepting new patients

Locations

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1295204618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 N EMERSON ST UNIT 5",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181450",
            "telephone_number": "720-358-2862",
            "fax_number": "833-358-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 N EMERSON ST UNIT 5",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181450",
            "telephone_number": "720-358-2862",
            "fax_number": "833-358-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONS",
        "first_name": "ANGELA",
        "middle_name": "WALSH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0100812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.