Individual provider Active NPI

Elizabeth Welch McCutchon, NNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, CO
National Provider Identifier
1336314095
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
117043 Issued in CO
Practice address
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone
(303) 443-8500
NPI assigned
Apr 24, 2008
Last updated
Jun 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 117043 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 117043 CO Primary

Addresses

Primary practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

1706 Daisy CT
Broomfield, CO 80020-1158
Phone (303) 588-0096

Other practice location 1

13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-6857

Other names 1

  • Elizabeth Welch-Carre Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.mhpcolorado.org

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
I20220907001174 CO Practitioner - Nurse Practitioner 6204210438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

897 Hwy 287
Suite 200
Broomfield, CO 80020
Phone (303) 443-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117043COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 8, 2025 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Sep 8, 2025 Accepting new patients

Locations

1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250

897 US Highway 287
Ste 200
Broomfield, CO 80020
Phone (646) 705-2230

1455 Dixon Ave
Lafayette, CO 80026
Phone (720) 406-3604

1455 Dixon Ave
Ste 300
Lafayette, CO 80026
Phone (303) 604-4244

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

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.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1336314095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 DAISY CT",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201158",
            "telephone_number": "303-588-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 DIXON AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268879",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-777-6857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHON",
        "first_name": "ELIZABETH",
        "middle_name": "WELCH",
        "name_prefix": "Ms.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "117043",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "117043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mhpcolorado.org",
            "affiliation": "N",
            "address_1": "1455 Dixon Ave",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800268879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WELCH-CARRE",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.