Individual provider Active NPI

Ralph Brent Sanders, RN MSN CNS RXN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Denver, CO
National Provider Identifier
1497823652
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
80032CNS Issued in CO
Practice address
90 Madison St Ste 302
Denver, CO 80206-5412
Phone
(720) 331-6899
Fax
(720) 306-5499
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 80032CNS CO Primary
Clinical Nurse Specialist 364S00000X APN.0002986-CNS CO

Addresses

Primary practice location

90 Madison St Ste 302
Denver, CO 80206-5412

Mailing address

90 Madison St Ste 302
Denver, CO 80206-5412
Phone (720) 331-6899

Other practice location 1

1776 S Jackson St
1009
Denver, CO 80210-3801
Phone (303) 880-9109

Other identifiers 1

IdentifierTypeStateIssuer
01875752MedicaidCO

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
I20100526000438 CO Practitioner - Certified Clinical Nurse Specialist (CNS) 8325177587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alder Grove Health Services IncGroup PAC ID 0840553517, 9 clinicians

Practice addresses (Care Compare)

90 Madison St
Suite 302
Denver, CO 80206-5412
Phone (720) 331-6899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0002986-CNSCOMDClinical Nurse Specialist
80032CNSCOMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Health Services, Inc CurrentSince Jun 1, 2022 Accepting new patients

Locations

90 Madison St
Ste 302
Denver, CO 80206
Phone (720) 331-6899

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1497823652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065412",
            "telephone_number": "720-331-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065412",
            "telephone_number": "720-331-6899",
            "fax_number": "720-306-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 S Jackson St",
            "address_2": "1009",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802103801",
            "country_code": "US",
            "telephone_number": "303-880-9109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RALPH",
        "middle_name": "BRENT",
        "credential": "RN MSN CNS RXN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CO",
            "license": "80032CNS",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CO",
            "license": "APN.0002986-CNS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01875752",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.