Individual provider Active NPI

Sharon Kobak, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1346387024
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024165796 Issued in VA
Practice address
1600 City Park Esplanade
Denver, CO 80206-1429
Phone
(720) 423-8378
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024165796 VA Primary

Addresses

Primary practice location

1600 City Park Esplanade
Denver, CO 80206-1429

Mailing address

601 N Broadway
Denver, CO 80203-3407
Phone (303) 602-8958

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skobak9162@direct.dhha.org Health Information Exchange (HIE)

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
I20120125000099 CO Practitioner - Nurse Practitioner 1355240086 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Mar 28, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 28, 2011 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 28, 2011 Accepting new patients
Denver Health and Hospital Authority PastSince Mar 28, 2021 Accepting new patients
Regents of the University of Colorado Past Accepting new patients
The Regents of the University of Colorado Past Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

1600 City Park Esplanade
Denver, CO 80206
Phone (720) 423-8340

777 Bannock St
Denver, CO 80204

Interoperability endpoints

  • Direct secure messaging: skobak9162@direct.dhha.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1346387024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033407",
            "telephone_number": "303-602-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CITY PARK ESPLANADE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061429",
            "telephone_number": "720-423-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBAK",
        "first_name": "SHARON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024165796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skobak9162@direct.dhha.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Bannock St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802044507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.