Active NPI
Archana Kayastha
- Family Nurse Practitioner
- Commerce City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- C-APN-0004712-C-NP
- Practice address
- 5996 E 64TH Ave
Commerce City, CO 80022-3317 - Phone
- (720) 463-6758
- Fax
- (720) 640-3314
- NPI assigned
- Nov 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 144966 | MT | |
| Family Nurse Practitioner | 363LF0000X | C-APN-0004712-C-NP | CO | Primary |
Addresses
Primary practice location
5996 E 64TH Ave
Commerce City, CO 80022-3317
Mailing address
PO Box 746081
Atlanta, GA 30374-6081
Other practice location 1
440 W Laurel Ave
Plentywood, MT 59254-1526
Phone (406) 765-3700 ext. 3153
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Select Physical Therapy of West Denver Limited Partnership
Practice addresses (Care Compare)
13659 E 104TH Ave
Commerce City, CO 80022-9402
Phone (720) 506-5340
5996 E 64TH Ave
Oak Street Health Commerce City
Commerce City, CO 80022-3317
Phone (720) 463-6758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN-0004712-C-NP | CO | MD | Family Nurse Practitioner |
| 144966 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Colorado, PLLC | Family | Current | Accepting new patients |
| Oak Street Health Physicians Group of Colorado, PLLC | Family | Current | Accepting new patients |
Locations
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010
5996 E 64th Ave
Commerce City, CO 80022
Phone (720) 463-6758
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1134868599
Family
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1255047288
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1437628567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746081",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5996 E 64TH AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800223317",
"telephone_number": "720-463-6758",
"fax_number": "720-640-3314"
}
],
"practiceLocations": [
{
"address_1": "440 W Laurel Ave",
"address_purpose": "LOCATION",
"city": "Plentywood",
"state": "MT",
"postal_code": "592541526",
"country_code": "US",
"telephone_number": "406-765-3700 x3153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAYASTHA",
"first_name": "ARCHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-19",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "144966",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN-0004712-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, 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.