Carleen R Innes, CNM

Individual provider Active NPI Advanced Practice Midwife · Arvada, CO

NPI 1366475147 · NPPES record last updated Nov 21, 2025

Key facts

NPI
1366475147
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
86312 (CO)
Practice address
7735 Wadsworth Blvd Unit D
Arvada, CO 80003-2131
Phone
(800) 230-7526
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070426000588 CO Practitioner - Certified Nurse Midwife (CNM) 0547366213 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
86312COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Permanente Medical Group, P.C. Current
since Jan 13, 2018
Accepting new patients
Peak Vista Community Health Centers Current
since Feb 13, 2012
Accepting new patients
Peak Vista Community Health Centers Current
since Feb 13, 2012
Accepting new patients
Womens Wellness Center of the Rockies LLP Advanced Practice Midwife Past
since Jul 24, 2006
Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

280 Exempla Cir
Lafayette, CO 80026

11245 Huron St
Westminster, CO 80234
Phone (303) 451-9494

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 86312 CO Yes

Addresses

Primary practice location

7735 Wadsworth Blvd Unit D
Arvada, CO 80003-2131

Mailing address

7735 Wadsworth Blvd Unit D
Arvada, CO 80003-2131
Phone (800) 230-7526

Other identifiers

IdentifierTypeStateIssuer
07863129MedicaidCO

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Other providers in Arvada, CO

All providers in Arvada, CO · Advanced Practice Midwife in Colorado

Sources for this page

Verify at the official NPI Registry.