Individual provider Active NPI

Chelsea Lauren Kissinger, APRN

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1356693188
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993067-NP Issued in CO
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003128320AMedicaidGA
003128320BMedicaidGA
003128320DMedicaidGA
003128320CMedicaidGA

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
I20230130000532 CO Practitioner - Nurse Practitioner 5092967661 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1644965COMDRegistered Nurse
RN198963GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Georgia Clinic, PC Family Medicine CurrentSince Dec 13, 2009 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 19, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.