Individual provider Active NPI

Archana Kayastha

  • Family Nurse Practitioner
  • Commerce City, CO
National Provider Identifier
1437628567
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN-0004712-C-NP Issued in CO
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

Updated by the provider on Jan 12, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221227000493 CO Practitioner - Nurse Practitioner 3375877459 Reassigns benefits to 1 organization

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 PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Oak Street Health Physicians Group of Colorado PLLCGroup PAC ID 9032585054, 34 clinicians

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

LicenseStateTypeSpecialty
C-APN-0004712-C-NPCOMDFamily Nurse Practitioner
144966MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Jan 23, 2023 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Jan 23, 2023 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.

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

Verify at the official NPI Registry.