Active NPI
Krista Marie Willmann, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 09983579-NP
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1640585 | Other | CO | COLORADO STATE BOARD OF NURSING RN LICENSE NUMBER |
| 0993579-NP | Other | CO | COLORADO SATE BOARD OF NURSING NURSE PRACTITIONER-APN LICENSE NUMBER |
| F10170783 | Other | AMERICAN 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09983579-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | 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
- 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.
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
dba AdventHealth Medical Group Urogynecology at Porter
- Obstetrics & Gynecology Physician
- Denver, CO
- NPI 1952702102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2017; 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.