Consuelo Kelly, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0996346 Issued in CO

Practice address

499 E Hampden Ave Ste 130
Englewood, CO 80113-2791

Phone

(720) 316-8091

NPI assigned

May 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cutaneous Oncology Services LLCGroup PAC ID 9032525720, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
• HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014
• Uchealth Highlands Ranch Hospital Hospital, Highlands Ranch, CO, CCN 060132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: consuelo.kelly.1@22806.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cutaneous Oncology Services LLC

  dba The Melanoma And Skin Cancer Institute

  • Hematology & Oncology Physician
  • Englewood, CO
  • NPI 1215524996
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  dba HCA HealthONE Swedish Hospital

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  Care Compare affiliation
• HCA Healthone LLC

  dba HCA HealthONE Presbyterian St. Lukes Hospital

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  Care Compare affiliation
• Uchealth Highlands Ranch Hospital

  • General Acute Care Hospital
  • Highlands Ranch, CO
  • NPI 1891294518
  Care Compare affiliation

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1356924989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 S FOX ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106503",
            "telephone_number": "702-629-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 130",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132791",
            "telephone_number": "720-316-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 19th Ave Ste 3550",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181285",
            "country_code": "US",
            "telephone_number": "720-316-8091",
            "fax_number": "833-979-0946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CONSUELO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0996346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theskincancerinstitute.com",
            "affiliation": "N",
            "endpointDescription": "patient portal URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena EMR",
            "address_1": "499 E Hampden Ave Ste 130",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eleisha Keen
• Nicole Keenan, PT, DPT
• Sarah Lee Keller, LCSW
• Judas Zed Kelley, MD
• Kelly Mead, LLC
• Heather Kelly, NP
• Jason Kelly, M.D.
• Taylor Kelly
• David C Kelsall, MD
• Amy A Kelso, PA-C

• Family Nurse Practitioner in Englewood, CO
• Providers in Englewood, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.