Active NPI
Nicole Klein, NP-C
- Adult Health Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP-990350
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39512509 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AR, KY, WI, WA, AZ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 990350 | CO | MD | Adult Health Nurse Practitioner |
| NP-990350 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virta Medical P.C. | Current | Accepting new patients | |
| Mednow Clinics, Inc | Current | Accepting new patients | |
| Alliance Urgent Care | Current | 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
- 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.
-
dba Alliance Urgent Care & Family Practice
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1982819025
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1093225138
AR, AZ, CO, KY, OH, WA, WI
-
dba MedNOW Clinics - Colorado Springs
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1659119378
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.