NPIMap

Individual provider Active NPI

Kirsten Kelsey Dekoster, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1447036173
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008094 Issued in CO
Practice address
1880 Fall River Dr Ste 210
Loveland, CO 80538-7158
Phone
(970) 484-6303
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008094 CO Primary

Addresses

Primary practice location

1880 Fall River Dr Ste 210
Loveland, CO 80538-7158

Mailing address

1880 Fall River Dr Ste 210
Loveland, CO 80538-7158
Phone (970) 744-4712

Other practice location 1

1100 Poudre River Dr
Fort Collins, CO 80524-3557
Phone (970) 484-6303

Other practice location 2

1006 Centre Ave
Fort Collins, CO 80526-1849
Phone (970) 484-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928000813 CO Practitioner - Physician Assistant 9931553765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
San Juan Bautista School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050

1880 Fall River Dr
Suite 210
Loveland, CO 80538-7158
Phone (970) 484-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008094COMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1447036173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 FALL RIVER DR STE 210",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387158",
            "telephone_number": "970-744-4712",
            "fax_number": "970-460-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 FALL RIVER DR STE 210",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387158",
            "telephone_number": "970-484-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Poudre River Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805243557",
            "country_code": "US",
            "telephone_number": "970-484-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1006 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805261849",
            "country_code": "US",
            "telephone_number": "970-484-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEKOSTER",
        "first_name": "KIRSTEN",
        "middle_name": "KELSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.