Individual provider Active NPI

Krista Marie Willmann, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1548776719
Registry record updated Dec 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09983579-NP Issued in CO
Practice address
10103 Ridgegate Pkwy Ste G21
Lone Tree, CO 80124-5524
Phone
(303) 792-5200
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2017

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 09983579-NP CO Primary

Addresses

Primary practice location

10103 Ridgegate Pkwy Ste G21
Lone Tree, CO 80124-5524

Mailing address

9313 W Radcliffe PL
Littleton, CO 80123-1196
Phone (859) 475-3237

Other identifiers 3

IdentifierTypeStateIssuer
1640585OtherCOCOLORADO STATE BOARD OF NURSING RN LICENSE NUMBER
0993579-NPOtherCOCOLORADO SATE BOARD OF NURSING NURSE PRACTITIONER-APN LICENSE NUMBER
F10170783OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09983579-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 1, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2019 Accepting new patients

Locations

250 Max Dr
Ste 102
Castle Pines, CO 80108
Phone (303) 649-3350

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: krista.willmann@hca3.eclinicaldirectplus.com

Organizations & group practices 3

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": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513987200000",
    "number": "1548776719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 W RADCLIFFE PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801231196",
            "telephone_number": "859-475-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGEGATE PKWY STE G21",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245524",
            "telephone_number": "303-792-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMANN",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2017-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "09983579-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF NURSING RN LICENSE NUMBER",
            "identifier": "1640585",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO SATE BOARD OF NURSING NURSE PRACTITIONER-APN LICENSE NUMBER",
            "identifier": "0993579-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION NUMBER",
            "identifier": "F10170783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.