Nicole R Rae, P.A.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1171 Issued in CO

Practice address

125 Rampart Way
Suite 200
Denver, CO 80230-6406

Phone

(720) 858-7434

Fax

(720) 858-7605

NPI assigned

Sep 23, 2008

Last updated

Feb 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.87 of 100Reported as group

Quality

41.92

Promoting interoperability

62

Improvement activities

40

Cost

72.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Denver, CO
  • NPI 1417986134
  Medicare reassignment Care Compare group
• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Centennial, CO
  • NPI 1295307957
  NPD (past)
• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Littleton, CO
  • NPI 1689246274
  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1487804852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306406",
            "telephone_number": "720-858-7434",
            "fax_number": "720-858-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306406",
            "telephone_number": "720-858-7434",
            "fax_number": "720-858-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487804852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyson Frederick Radons
• Yekaterina A Radu
• Gary Michael Radz, D.D.S.
• Rae of Hope Therapy, LLC
• Cassie Rae, PTA
• Marsha A Raebel
• Jeanne Rael, LCSW
• David A Raetz, M.D.
• Alexis Rafael
• Soyona Rafatjah, M.D.

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.