Individual provider Active NPI

Tracy Katherine Spence, CRNA

  • Certified Registered Nurse Anesthetist
  • Wheat Ridge, CO
National Provider Identifier
1306941521
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R144229 Issued in MD
Practice address
12911 W 40TH Avenue
Wheat Ridge, CO 80401
Phone
(303) 425-4500
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R144229 MD
Certified Registered Nurse Anesthetist 367500000X R144229 MD Primary

Addresses

Primary practice location

12911 W 40TH Avenue
Wheat Ridge, CO 80401

Mailing address

12911 W 40TH Avenue
Wheat Ridge, CO 80401

Other practice location 1

6701 N Charles St
Towson, MD 21204-6808
Phone (410) 296-4616 ext. 203

Other identifiers 1

IdentifierTypeStateIssuer
4405056 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328001639 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678598950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians
Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R144229MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Anesthesia Services PC CurrentSince Apr 1, 2025 Accepting new patients

Locations

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1306941521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVENUE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVENUE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212046808",
            "country_code": "US",
            "telephone_number": "410-296-4616 x203",
            "fax_number": "410-337-5068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "TRACY",
        "middle_name": "KATHERINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R144229",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R144229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4405056 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.