Kelly Lynn Sandberg, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0990636-NP Issued in CO

Practice address

1035 Garden of the Gods Rd Ste 120
Colorado Springs, CO 80907-3416

Phone

(719) 365-3200

Fax

(719) 365-7680

NPI assigned

Feb 7, 2013

Last updated

Apr 30, 2026By 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 names 1

• Kelly Lynn Rivera Former name

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

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Colorado LLCGroup PAC ID 2860879368, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_ksandber@landmarkhealth-direct.org

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.

• Bloom Colorado LLC

  dba AFC Urgent Care Grand Junction

  • Urgent Care Clinic/Center
  • Grand Junction, CO
  • NPI 1629662267
  Medicare reassignment Care Compare group NPD
• Emergency Medical Specialists, PC

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1194708073
  Medicare reassignment NPD
• Emergency Physicians of the Rockies, PC

  • Emergency Medicine Physician
  • Fort Collins, CO
  • NPI 1174570717
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Bloom Colorado LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1679346621
  NPD
• Emergency Medical Specialists, PC

  • Emergency Medicine Physician
  • Colorado Springs, CO
  • NPI 1114531431
  NPD
• Emergency Physicians of the Rockies, PC

  • Emergency Medicine Physician
  • Longmont, CO
  • NPI 1285133819
  NPD
• Peak Vista Community Health Centers

  dba Behavioral Health at Inside Out Youth Services

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  NPD (past)
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1538408729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 GARDEN OF THE GODS RD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073416",
            "telephone_number": "719-365-3200",
            "fax_number": "719-365-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13445 Voyager Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809217648",
            "country_code": "US",
            "telephone_number": "719-365-3220",
            "fax_number": "719-219-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Integrity Center Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809171683",
            "country_code": "US",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11605 Meridian Market Vw Ste 184",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "CO",
            "postal_code": "808318238",
            "country_code": "US",
            "telephone_number": "719-364-9560",
            "fax_number": "719-364-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3207 N Academy Blvd",
            "address_2": "Suite 3100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175100",
            "country_code": "US",
            "telephone_number": "719-632-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5000",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "fax_number": "719-365-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990636-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "RIVERA",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roxiean Sanchez
• Sanctuary Pediatrics PLLC
• Sand Creek Chiropractic Group (Sand Creek Chiropractic)
• Emily Sandbach, M.D.
• James C Sandberg, PA
• Gerald Hill Sandeford, L.P.C.
• Timothy Vaughn Sandell, M.D.
• Kelsey Lynne Sandella, MSW, SWC
• Iana Britt Sanden Shamah, PA-C
• Sanders Chiropractic, Inc.

• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.