Active NPI
Kyle Possemato, NP
- Family Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007008
- Practice address
- 2410 California St
San Francisco, CA 94115-2681 - Phone
- (415) 529-4050
- Fax
- (415) 291-0489
- NPI assigned
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007008 | CA | Primary |
Addresses
Primary practice location
2410 California St
San Francisco, CA 94115-2681
Mailing address
2410 California St
San Francisco, CA 94115-2681
Phone (415) 529-4050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
1400 Jackson St
BLDG T
Denver, CO 80206-2761
Phone (303) 812-3800
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Saint Joseph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007008 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1400 Jackson St
Ste 550
Denver, CO 80206
Phone (303) 318-3800
1400 Jackson St
Bldg T
Denver, CO 80206
Phone (303) 812-3800
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Family Medicine Physician
- Denver, CO
- NPI 1275147217
-
- Family Medicine Physician
- Denver, CO
- NPI 1942972526
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Littleton, CO
- NPI 1164071296
-
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
-
- General Acute Care Hospital
- Northglenn, CO
- NPI 1427607464
-
- General Acute Care Hospital
- Aurora, CO
- NPI 1619526746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1316462385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152681",
"telephone_number": "415-529-4050",
"fax_number": "415-291-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 CALIFORNIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152681",
"telephone_number": "415-529-4050",
"fax_number": "415-291-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSSEMATO",
"first_name": "KYLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.