Individual provider Active NPI

Rosa A Cruz Kauffman, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1457715831
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0994454-NP Issued in CO
Practice address
1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Phone
(970) 235-0952
NPI assigned
Apr 11, 2016
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994454-NP CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173

Mailing address

PO Box 271369
Fort Collins, CO 80527-1369
Phone (970) 235-0952

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
I20190626001083 CO Practitioner - Nurse Practitioner 7113251059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aquamind Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 15, 2024 Accepting new patients

Locations

301 S Howes St
Ste 2101
Fort Collins, CO 80521

Interoperability endpoints

  • Direct secure messaging: rosa.cruzkauffman.p1@direct.ahs.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1457715831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271369",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805271369",
            "telephone_number": "970-235-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 4101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251173",
            "telephone_number": "970-235-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ KAUFFMAN",
        "first_name": "ROSA",
        "middle_name": "A",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994454-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.