Individual provider Active NPI

Beth Eldridge

  • Acute Care Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1316680796
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0997807-NP Issued in CO
Practice address
12505 E. 16TH Ave
Aurora, CO 80045
Phone
(720) 848-0000
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0997807-NP CO Primary

Addresses

Primary practice location

12505 E. 16TH Ave
Aurora, CO 80045

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

10585 W 9th Pl
Lakewood, CO 80215-5619
Phone (217) 415-6460

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
I20220908000390 CO Practitioner - Nurse Practitioner 0042694143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Surgical Service PCGroup PAC ID 7416844311, 15 clinicians

Practice addresses (Care Compare)

400 Indiana St
Suite 200
Golden, CO 80401-5027
Phone (303) 940-8200

4350 Wadsworth Blvd
Suite 401
Wheat Ridge, CO 80033-4638

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997807-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Trauma Services PC CurrentSince Dec 18, 2023 Accepting new patients
Colorado Surgical Service PC CurrentSince Dec 18, 2023 Accepting new patients
Colorado Trauma Services PC CurrentSince Dec 18, 2023 Accepting new patients
Colorado Surgical Service PC Current Accepting new patients
Colorado Surgical Service PC Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

400 Indiana St
Ste 200
Golden, CO 80401
Phone (303) 467-1400

4350 Wadsworth Blvd
Ste 401
Wheat Ridge, CO 80033
Phone (720) 996-0780

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1316680796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 E. 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10585 W 9th Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802155619",
            "country_code": "US",
            "telephone_number": "217-415-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0997807-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.