Active NPI
Anna Louise Pankau Roley, NP
- Family Nurse Practitioner
- Denver, CO
National Provider Identifier
1497582233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1000027
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.1000027 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitney S Kennedy MD PLLC | Current | Accepting new patients |
Locations
4104 Tejon St
Denver, CO 80211
Phone (303) 381-3700
Interoperability endpoints
- anna.roley.1@1409.direct.athenahealth.com
- 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.
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1962684381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.