Active NPI
Lauren Faye Petasne, ARNP
- Family Nurse Practitioner
- Wheat Ridge, CO
National Provider Identifier
1396261525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9355379
- Practice address
- 7100 W 44TH Ave Ste 101a
Wheat Ridge, CO 80033 - Phone
- (720) 507-4779
- NPI assigned
- Aug 18, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9355379 | FL | Primary |
Addresses
Primary practice location
7100 W 44TH Ave Ste 101a
Wheat Ridge, CO 80033
Mailing address
7505 W Yale Ave Unit 2202
Denver, CO 80227-3426
Phone (954) 294-9248
Other practice location 1
8903 Glades Rd Ste A11
Boca Raton, FL 33434-2006
Phone (561) 482-7575
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181025002714 | CO | Practitioner - Nurse Practitioner | 8123387974 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Spine & Posture Center Inc. | Past | Accepting new patients | |
| Openloop Healthcare Partners PC | Past | Accepting new patients | |
| Openloop Healthcare Partners California PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Denver Spine and Posture Center
- Physical Medicine & Rehabilitation Physician
- Denver, CO
- NPI 1063866325
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1396261525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 W YALE AVE UNIT 2202",
"city": "DENVER",
"state": "CO",
"postal_code": "802273426",
"telephone_number": "954-294-9248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 44TH AVE STE 101A",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "720-507-4779"
}
],
"practiceLocations": [
{
"address_1": "8903 Glades Rd Ste A11",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334342006",
"country_code": "US",
"telephone_number": "561-482-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETASNE",
"first_name": "LAUREN",
"middle_name": "FAYE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9355379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.