Individual provider Active NPI

Kylie McBride, FNP-C

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1447776737
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993313-NP Issued in CO
Practice address
2880 Folsom St Ste 100
Boulder, CO 80304-3769
Phone
(303) 327-7047
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993313-NP CO Primary

Addresses

Primary practice location

2880 Folsom St Ste 100
Boulder, CO 80304-3769

Mailing address

2880 Folsom St
Ste 100
Boulder, CO 80304-3769
Phone (303) 327-7047

Other identifiers 1

IdentifierTypeStateIssuer
F06171910OtherCOAANP CERTIFICATION

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
I20180503001249 CO Practitioner - Nurse Practitioner 2769746510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Internal Medicine PCGroup PAC ID 0840282422, 5 clinicians

Practice addresses (Care Compare)

2880 Folsom St
Suite 100
Boulder, CO 80304-3769

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Internal Medicine PC CurrentSince Apr 1, 2018 Accepting new patients

Locations

2880 Folsom St
Ste 100
Boulder, CO 80304
Phone (303) 247-9696

Interoperability endpoints

  • Direct secure messaging: kylie.mcbride@bimpc.eclinicaldirectplus.com

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1447776737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 FOLSOM ST",
            "address_2": "STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043769",
            "telephone_number": "303-327-7047",
            "fax_number": "303-443-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 FOLSOM ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043769",
            "telephone_number": "303-327-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "KYLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993313-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F06171910",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.