Individual provider Active NPI

Dezerae Paige Elsen, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1356037717
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998616-NP Issued in CO
Practice address
3773 E Cherry Creek North Dr Ste 801
Denver, CO 80209-3828
Phone
(720) 251-2837
Fax
(720) 208-4537
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998616-NP CO Primary

Addresses

Primary practice location

3773 E Cherry Creek North Dr Ste 801
Denver, CO 80209-3828

Mailing address

3773 E Cherry Creek North Dr Ste 801
#17422671
Denver, CO 80209-3828
Phone (720) 251-2837

Other identifiers 1

IdentifierTypeStateIssuer
9000222043MedicaidCO

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
I20240304003301 CO Practitioner - Nurse Practitioner 1759726425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Psychiatry and Counseling, PLLC Psychiatric/Mental Health Current Accepting new patients
Bundukamara Inc Psychiatric/Mental Health CurrentSince Nov 28, 2023 Accepting new patients

Locations

3720 Sinton Rd
Ste 104
Colorado Springs, CO 80907
Phone (719) 493-9555

3773 E Cherry Creek North Dr
Ste 801
Denver, CO 80209
Phone (719) 821-1953

1580 N Logan St
Ste 660
Denver, CO 80203
Phone (719) 212-1928

Organizations & group practices 2

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1356037717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 E CHERRY CREEK NORTH DR STE 801",
            "address_2": "#17422671",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093828",
            "telephone_number": "720-251-2837",
            "fax_number": "720-208-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 E CHERRY CREEK NORTH DR STE 801",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093828",
            "telephone_number": "720-251-2837",
            "fax_number": "720-208-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEN",
        "first_name": "DEZERAE",
        "middle_name": "PAIGE",
        "name_prefix": "Miss",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998616-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000222043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.