Individual provider Active NPI

Dena Lewis, DNP, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Trinidad, CO
National Provider Identifier
1407221518
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0996448-NP Issued in CO
Practice address
107 Moores Canyon Rd Ste 4
Trinidad, CO 81082-8554
Phone
(719) 752-0250
NPI assigned
Dec 1, 2015
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024177427 VA
Acute Care Nurse Practitioner 363LA2100X 0996448-NP CO Primary
Acute Care Nurse Practitioner 363LA2100X 61048 NM
Acute Care Nurse Practitioner 363LA2100X APRN67066-AGACNP-BC WV

Addresses

Primary practice location

107 Moores Canyon Rd Ste 4
Trinidad, CO 81082-8554

Mailing address

19313 Ponderosa Dr
Weston, CO 81091-9742
Phone (304) 261-6204

Other practice location 1

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210127002586 NM Practitioner - Nurse Practitioner 3173826245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1493
Las Vegas, NM 87701-1493

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996448-NPCOMDAcute Care Nurse Practitioner
APRN67066-AGACNP-BCWVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miners Colfax Medical Center CurrentSince Apr 28, 2021 Accepting new patients
San Miguel Clinic Corp CurrentSince Mar 1, 2024 Accepting new patients
Miners Colfax Medical Center CurrentSince Apr 28, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Feb 15, 2024 Accepting new patients
Health Care Partners Foundation Inc Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Miners Colfax Medical Center Past Accepting new patients

Locations

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

203 Hospital Dr
Raton, NM 87740
Phone (505) 445-2741

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: dena.lewis.1@1592.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/1762c86e-d105-4afc-a3d1-9e89748c9af3/

Organizations & group practices 7

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1407221518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19313 PONDEROSA DR",
            "city": "WESTON",
            "state": "CO",
            "postal_code": "810919742",
            "telephone_number": "304-261-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MOORES CANYON RD STE 4",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810828554",
            "telephone_number": "719-752-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Raton",
            "state": "NM",
            "postal_code": "877402012",
            "country_code": "US",
            "telephone_number": "575-445-3661",
            "fax_number": "575-445-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DENA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024177427",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0996448-NP",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "61048",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "APRN67066-AGACNP-BC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

Verify at the official NPI Registry.