Individual provider Active NPI

Alexa Marie Fuller, WHNP-BC, APN, MS

  • Women's Health Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1396104451
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0991928 Issued in CO
Practice address
2352 Meadows Blvd Ste 255
Castle Rock, CO 80109-8417
Phone
(303) 738-1100
Fax
(303) 738-1310
NPI assigned
Feb 17, 2016
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0991928 CO Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 255
Castle Rock, CO 80109-8417

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 738-1100

Other practice location 1

7750 S Broadway
Littleton, CO 80122-2623
Phone (303) 730-6000

Other practice location 2

2823 Roslyn St
Denver, CO 80238-2624
Phone (303) 403-6333 ext. 6408

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
I20180427000166 CO Practitioner - Nurse Practitioner 6901188390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onpoint OBGYN LLCGroup PAC ID 3375928807, 19 clinicians

Practice addresses (Care Compare)

7780 S Broadway
280 South Denver OBGYN and Midwives
Littleton, CO 80122-2633
Phone (303) 738-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0991928COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 19, 2017 Accepting new patients
Onpoint OBGYN LLC Obstetrics & Gynecology CurrentSince Sep 26, 2022 Accepting new patients
Onpoint OBGYN LLC Obstetrics & Gynecology CurrentSince Sep 26, 2022 Accepting new patients

Locations

2352 Meadows Blvd
Ste 255
Castle Rock, CO 80109
Phone (303) 738-1100

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

7780 S Broadway
Ste 280
Littleton, CO 80122
Phone (303) 738-1100

Interoperability endpoints

  • Direct secure messaging: alexa.fuller.1@5740.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1396104451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 255",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098417",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222623",
            "country_code": "US",
            "telephone_number": "303-730-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Roslyn St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382624",
            "country_code": "US",
            "telephone_number": "303-403-6333 x6408",
            "fax_number": "303-403-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ALEXA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, APN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0991928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.