Individual provider Active NPI

Annette C Siemens, FNP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1477643872
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
197 Issued in AK
Practice address
2880 W Holden PL
Denver, CO 80204-3353
Phone
(303) 953-6600
Fax
(303) 781-4333
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 197 AK Primary

Addresses

Primary practice location

2880 W Holden PL
Denver, CO 80204-3353

Mailing address

2880 W Holden PL
Denver, CO 80204-3353
Phone (303) 953-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140303001259 TX Practitioner - Nurse Practitioner 4082757620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Indian Health and Family Services Inc.Group PAC ID 5193729192, 10 clinicians

Practice addresses (Care Compare)

2880 W Holden PL
Denver, CO 80204-3353
Phone (303) 953-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleutian Pribilof Islands Association Inc CurrentSince Aug 13, 2013 Accepting new patients
Denver Indian Health and Family Services Inc. CurrentSince Mar 19, 2024 Accepting new patients

Locations

1131 E Intl Airport Rd
Anchorage, AK 99518
Phone (907) 276-2700

2880 W Holden Pl
Denver, CO 80204
Phone (303) 953-6600

1633 Fillmore St
Denver, CO 80206
Phone (720) 261-9537

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDFAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1477643872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 W HOLDEN PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043353",
            "telephone_number": "303-953-6600",
            "fax_number": "303-781-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 W HOLDEN PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043353",
            "telephone_number": "303-953-6600",
            "fax_number": "303-781-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMENS",
        "first_name": "ANNETTE",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.