Individual provider Active NPI

Nicole Klein, NP-C

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1407121544
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-990350 Issued in CO
Practice address
3425 Austin Bluffs Pkwy Ste 100
Colorado Springs, CO 80918-5701
Phone
(719) 265-4412
Fax
(719) 888-1739
NPI assigned
Mar 21, 2012
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 990350 CO
Adult Health Nurse Practitioner 363LA2200X NP-990350 CO Primary

Addresses

Primary practice location

3425 Austin Bluffs Pkwy Ste 100
Colorado Springs, CO 80918-5701

Mailing address

3425 Austin Bluffs Pkwy Ste 100
Colorado Springs, CO 80918-5701
Phone (719) 265-4412

Other identifiers 1

IdentifierTypeStateIssuer
39512509MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AR, KY, WI, WA, AZ, OH7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20120910000895 CO Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 3 organizations
I20240718001865 AR Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization
I20240905000679 KY Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization
I20240923001824 WI Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization
I20241112003574 WA Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization
I20241125003398 AZ Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization
I20241202000624 OH Practitioner - Nurse Practitioner 3476701822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

2960 N Circle Dr
Suite 200
Colorado Springs, CO 80909-1163
Phone (719) 634-8891

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
990350COMDAdult Health Nurse Practitioner
NP-990350COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virta Medical P.C. CurrentSince May 9, 2024 Accepting new patients
Mednow Clinics, Inc CurrentSince Aug 23, 2024 Accepting new patients
Alliance Urgent Care CurrentSince Sep 25, 2019 Accepting new patients
Mednow Clinics, Inc Past Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

501 Folsom St
Fl 1
San Francisco, CA 94105

655 Montgomery St
Ste 810
San Francisco, CA 94111

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909
Phone (719) 387-7900

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906
Phone (719) 203-4723

9320 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 282-6337

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

421 W Main St
Frankfort, KY 40601
Phone (800) 796-2946

50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871

300 Deschutes Way SW
Ste 208
Tumwater, WA 98501
Phone (617) 249-6854

8040 Excelsior Dr
Ste 400
Madison, WI 53717
Phone (415) 360-3083

Interoperability endpoints

  • Direct secure messaging: nicole.klein.1@14209.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 2

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": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1407121544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-265-4412",
            "fax_number": "719-888-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-265-4412",
            "fax_number": "719-888-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "990350",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "NP-990350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39512509",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.