Individual provider Active NPI

Kelsey Raber

  • Primary Care Nurse Practitioner
  • Denver, CO
National Provider Identifier
1457861312
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN.0993291-NP Issued in CO
Practice address
1265 S Broadway
Denver, CO 80210-1503
Phone
(720) 669-6368
NPI assigned
Oct 5, 2017
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0993291-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0993291-NP CO
Primary Care Nurse Practitioner 363LP2300X APN.0993291-NP CO Primary

Addresses

Primary practice location

1265 S Broadway
Denver, CO 80210-1503

Mailing address

4380 S Monaco St Unit 4047
Denver, CO 80237-3491

Other practice location 1

11700 W 2nd Pl
Med Plaza 2, ste 450
Lakewood, CO 80228-1719
Phone (303) 825-1234

Other practice location 2

6455 S Yosemite St
Greenwood Village, CO 80111-5139
Phone (303) 714-2400

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
I20171208000090 CO Practitioner - Nurse Practitioner 5799042230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1009 Windcross CT
Suite 101
Franklin, TN 37067-2678

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993291-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medicine Associates, PC CurrentSince Jul 27, 2023 Accepting new patients
Geriatric Medicine Associates, PC Current Accepting new patients

Locations

11700 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-8080

11700 W 2nd Pl
Ste 4450
Lakewood, CO 80228
Phone (303) 825-1234

11700 W 2nd Pl
Ste 450
Lakewood, CO 80228
Phone (303) 825-1234

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1457861312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 S MONACO ST UNIT 4047",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S BROADWAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101503",
            "telephone_number": "720-669-6368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11700 W 2nd Pl",
            "address_2": "Med Plaza 2, ste 450",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281719",
            "country_code": "US",
            "telephone_number": "303-825-1234",
            "fax_number": "720-321-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6455 S Yosemite St",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801115139",
            "country_code": "US",
            "telephone_number": "303-714-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABER",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993291-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993291-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0993291-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.