Individual provider Active NPI

Meghan Diane Krutsche, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1407627128
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0999369 Issued in CO
Practice address
9121 E 14TH Ave
Aurora, CO 80010-3057
Phone
(720) 341-2163
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0999369 CO Primary

Addresses

Primary practice location

9121 E 14TH Ave
Aurora, CO 80010-3057

Mailing address

9121 E 14TH Ave
Aurora, CO 80010-3057

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
I20250224002368 CO Practitioner - Nurse Practitioner 4587184361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9121 E 14TH Ave
Apt 105
Aurora, CO 80010-3044
Phone (303) 276-0369

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0999369COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Service Providers PC Psychiatric/Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Ananeo Colorado LLC CurrentSince Jan 5, 2025 Accepting new patients
Recovery Service Providers PLLC Psychiatric/Mental Health CurrentSince Oct 13, 2024 Accepting new patients

Locations

1600 Race St
Denver, CO 80206

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1407627128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 E 14TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800103057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 E 14TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800103057",
            "telephone_number": "720-341-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUTSCHE",
        "first_name": "MEGHAN",
        "middle_name": "DIANE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0999369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.