Individual provider Active NPI

Che Pang, NP

  • Gerontology Nurse Practitioner
  • Denver, CO
National Provider Identifier
1306365804
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.09933389-NP Issued in CO
Practice address
1531 Market St
Denver, CO 80202-1607
Phone
(033) 534-5536
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.09933389-NP CO Primary

Addresses

Primary practice location

1531 Market St
Denver, CO 80202-1607

Mailing address

1531 Market St
Denver, CO 80202-1607
Phone (033) 534-5536

Other practice location 1

5920 McIntyre St
Golden, CO 80403-7445
Phone (720) 434-4876

Other practice location 2

740 Peoria St
Aurora, CO 80011-8231
Phone (720) 531-7111

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
I20171004001180 CO Practitioner - Nurse Practitioner 5799050571 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.09933389-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Current Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince May 15, 2023 Accepting new patients
Community Medical Services Montana Private LLC CurrentSince Jul 1, 2024 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince May 15, 2023 Accepting new patients

Locations

740 Peoria St
Aurora, CO 80011
Phone (720) 531-7111

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1306365804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 MARKET ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021607",
            "telephone_number": "033-534-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 MARKET ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021607",
            "telephone_number": "033-534-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5920 McIntyre St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804037445",
            "country_code": "US",
            "telephone_number": "720-434-4876",
            "fax_number": "303-225-4246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Peoria St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118231",
            "country_code": "US",
            "telephone_number": "720-531-7111",
            "fax_number": "720-640-3317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANG",
        "first_name": "CHE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.09933389-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.