Individual provider Active NPI

Kelli Marie Green, FNP-BC

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1417639246
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
299387 Issued in AZ
Practice address
24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387
Phone
(303) 330-0410
Fax
(303) 330-0732
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0998755 CO
Family Nurse Practitioner 363LF0000X 299387 AZ Primary

Addresses

Primary practice location

24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387

Mailing address

1805 Shea Center Dr Ste 450
Highlands Ranch, CO 80129-2255
Phone (303) 357-2559

Other practice location 1

17389 Nature Walk Trl Unit 303
Parker, CO 80134-5270
Phone (303) 718-4413

Other practice location 2

10120 E Dry Creek Rd Ste 101
Englewood, CO 80112-2772
Phone (720) 738-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240107000159 AZ Practitioner - Nurse Practitioner 1456702158 Reassigns benefits to 1 organization
I20250818003726 CO Practitioner - Nurse Practitioner 1456702158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians
Medventures PLLCGroup PAC ID 1850440652, 19 clinicians

Practice addresses (Care Compare)

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

7280 Lagae Rd
Suite I
Castle Pines, CO 80108-9454
Phone (720) 638-3405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0998755COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medventures, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 18, 2023 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 18, 2023 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

17015 N 7th St
Ste 100
Phoenix, AZ 85022
Phone (602) 368-1403

18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475

12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

7280 Lagae Rd
Ste I
Castle Pines, CO 80108
Phone (303) 814-0505

1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

1805 Shea Center Dr
Ste 450
Highlands Ranch, CO 80129

9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: kelli.green.1@9821.direct.athenahealth.com
  • Direct secure messaging: kelli.green.2@9821.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1417639246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 450",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292255",
            "telephone_number": "303-357-2559",
            "fax_number": "303-330-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 E SMOKY HILL RD UNIT 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161387",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17389 Nature Walk Trl Unit 303",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345270",
            "country_code": "US",
            "telephone_number": "303-718-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10120 E Dry Creek Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801122772",
            "country_code": "US",
            "telephone_number": "720-738-1122",
            "fax_number": "720-738-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "299387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.