NPIMap

Individual provider Active NPI

Raquel Tendilla

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1457191348
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0999633-NP Issued in CO
Practice address
15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548
Phone
(720) 878-7055
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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.0999633-NP CO Primary

Addresses

Primary practice location

15101 E Iliff Ave Ste 140
Aurora, CO 80014-4548

Mailing address

4584 Perth St
Denver, CO 80249-8074
Phone (720) 314-2251

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
I20240802001132 CO Practitioner - Nurse Practitioner 7315484789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999633-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Aug 25, 2025 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Mednow Clinics, Inc CurrentSince Jun 15, 2024 Accepting new patients
Metro Community Provider Network Inc Past Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Interoperability endpoints

  • Direct secure messaging: raquel.tendilla.1@14209.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1457191348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4584 PERTH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498074",
            "telephone_number": "720-314-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 E ILIFF AVE STE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144548",
            "telephone_number": "720-878-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDILLA",
        "first_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999633-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.