NPIMap

Individual provider Active NPI

Kristen S Fahrner, M.D

  • Otolaryngic Allergy Physician
  • Steamboat Springs, CO
National Provider Identifier
1306834395
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
46327 Issued in CO
Practice address
940 Central Park Dr
Suite 207
Steamboat Springs, CO 80487-8816
Phone
(970) 879-3200
Fax
(970) 879-4608
NPI assigned
Oct 12, 2005
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 46327 CO Primary

Addresses

Primary practice location

940 Central Park Dr
Suite 207
Steamboat Springs, CO 80487-8816

Mailing address

6500 29TH St
Ste 106
Greeley, CO 80634-8386
Phone (970) 584-1063

Other identifiers 5

IdentifierTypeStateIssuer
061473OtherMEANTHEM
1044199OtherMEAETNA
2036312OtherMECIGNA
431937899MedicaidME
I20984OtherMEHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000062 CO Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6406810712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Ear Nose and Throat PCGroup PAC ID 9436127032, 25 clinicians

Practice addresses (Care Compare)

6500 29TH St
Suite 106
Greeley, CO 80634-8386
Phone (970) 330-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as individual
Promoting interoperability
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46327COMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Ear, Nose and Throat, PC CurrentSince Mar 12, 2020 Accepting new patients
Head and Neck Surgical Associates, PA Past Accepting new patients
C. V. Diagnostics, Inc. Past Accepting new patients

Locations

1120 E Elizabeth St
Ste F101
Fort Collins, CO 80524
Phone (970) 221-1177

6500 29th St
Ste 106
Greeley, CO 80634
Phone (970) 330-5555

3820 Grant Ave
Loveland, CO 80538
Phone (970) 593-1177

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1306834395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 29TH ST",
            "address_2": "STE 106",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348386",
            "telephone_number": "970-584-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 207",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-3200",
            "fax_number": "970-879-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHRNER",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CO",
            "license": "46327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061473",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1044199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2036312",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431937899",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "I20984",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.