Individual provider Active NPI

Anna Louise Pankau Roley, NP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1497582233
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000027 Issued in CO
Practice address
4104 Tejon St
Denver, CO 80211-1813
Phone
(303) 381-3700
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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.1000027 CO Primary

Addresses

Primary practice location

4104 Tejon St
Denver, CO 80211-1813

Mailing address

5500 DTC Pkwy Apt 920
Greenwood Village, CO 80111-3171
Phone (630) 824-8495

Other names 1

  • Miss Anna Pankau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1000027COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney S Kennedy MD PLLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

4104 Tejon St
Denver, CO 80211
Phone (303) 381-3700

Interoperability endpoints

  • Direct secure messaging: anna.roley.1@1409.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1409/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1497582233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DTC PKWY APT 920",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113171",
            "telephone_number": "630-824-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111813",
            "telephone_number": "303-381-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLEY",
        "first_name": "ANNA",
        "middle_name": "LOUISE PANKAU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PANKAU",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.