Active NPI
Chelsea Lauren Kissinger, APRN
- Family Nurse Practitioner
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0993067-NP
- Practice address
- 700 Potomac St Ste a
Aurora, CO 80011-6845 - Phone
- (303) 360-6276
- Fax
- (303) 360-3713
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1644965 | CO | |
| Family Nurse Practitioner | 363LF0000X | RN198963 | GA | |
| Family Nurse Practitioner | 363LF0000X | APN.0993067-NP | CO | Primary |
Addresses
Primary practice location
700 Potomac St Ste a
Aurora, CO 80011-6845
Mailing address
3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 360-6276
Other practice location 1
3 Corporate Blvd NE
Suite 130
Atlanta, GA 30329-2014
Phone (404) 634-1556
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003128320A | Medicaid | GA | |
| 003128320B | Medicaid | GA | |
| 003128320D | Medicaid | GA | |
| 003128320C | Medicaid | GA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1644965 | CO | MD | Registered Nurse |
| RN198963 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Community Provider Network, Inc. | Current | Accepting new patients | |
| Georgia Clinic, PC | Family Medicine | Current | Accepting new patients |
| Metro Community Provider Network Inc | Current | Accepting new patients | |
| Metro Community Provider Network Inc | Current | Accepting new patients |
Locations
700 Potomac St
Ste A
Aurora, CO 80011
Phone (303) 360-3712
750 Potomac St
Ste L23
Aurora, CO 80011
Phone (303) 360-8811
2255 S Oneida St
Denver, CO 80224
3701 S Broadway
Englewood, CO 80113
17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899
3 Corporate Blvd NE
Ste 130
Brookhaven, GA 30329
Phone (404) 634-1556
1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Aurora, CO
- NPI 1558727883
-
- Federally Qualified Health Center (FQHC)
- Wheat Ridge, CO
- NPI 1184961492
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1255591780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356693188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S BROADWAY",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133611",
"telephone_number": "303-360-6276",
"fax_number": "303-467-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 POTOMAC ST STE A",
"city": "AURORA",
"state": "CO",
"postal_code": "800116845",
"telephone_number": "303-360-6276",
"fax_number": "303-360-3713"
}
],
"practiceLocations": [
{
"address_1": "3 Corporate Blvd NE",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292014",
"country_code": "US",
"telephone_number": "404-634-1556",
"fax_number": "404-634-1557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISSINGER",
"first_name": "CHELSEA",
"middle_name": "LAUREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1644965",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN198963",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0993067-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003128320A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003128320B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003128320D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003128320C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.