Individual provider Active NPI

Elissa May Okeson, ACNPC-AG

  • Acute Care Clinical Nurse Specialist
  • Northglenn, CO
National Provider Identifier
1346979358
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
ANP.0997560-NP Issued in CO
Practice address
11271 Clarkson St
Northglenn, CO 80233-3106
Phone
(720) 326-3451
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0997560-NP CO
Acute Care Clinical Nurse Specialist 364SA2100X ANP.0997560-NP CO Primary

Addresses

Primary practice location

11271 Clarkson St
Northglenn, CO 80233-3106

Mailing address

11271 Clarkson St
Northglenn, CO 80233-3106
Phone (720) 326-3451

Other identifiers 1

IdentifierTypeStateIssuer
APN.0997560-NPMedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206001065 CO Practitioner - Nurse Practitioner 9436528973 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997560-NPCOMDAcute Care Nurse Practitioner
ANP.0997560-NPCOMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Advanced Urgent Care LLC CurrentSince Nov 14, 2022 Accepting new patients
Mile High Diabetes Vein and Wound Center LLC CurrentSince Aug 8, 2023 Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

12061 Tejon St
Ste 600
Westminster, CO 80234
Phone (303) 457-0123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1346979358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11271 CLARKSON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333106",
            "telephone_number": "720-326-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11271 CLARKSON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333106",
            "telephone_number": "720-326-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKESON",
        "first_name": "ELISSA",
        "middle_name": "MAY",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-09-27",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0997560-NP",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CO",
            "license": "ANP.0997560-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APN.0997560-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.