Individual provider Active NPI

Colton Braucher

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1568090553
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0997894 Issued in CO
Practice address
1421 S Potomac St Ste 110
Aurora, CO 80012-4511
Phone
(970) 310-3406
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1684262 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0997894 CO Primary

Addresses

Primary practice location

1421 S Potomac St Ste 110
Aurora, CO 80012-4511

Mailing address

1421 S Potomac St
Aurora, CO 80012-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200728002886 WV Practitioner - Nurse Practitioner 2769806454
I20220831000889 CO Practitioner - Nurse Practitioner 2769806454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1421 S Potomac St
Suite 110
Aurora, CO 80012-4511
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1684262COMDRegistered Nurse
0997894COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Aug 12, 2022 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Aug 12, 2022 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health Current Accepting new patients

Locations

1421 S Potomac St
Ste 110
Aurora, CO 80012
Phone (303) 337-5261

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

320 W Olive St
Fort Collins, CO 80521
Phone (603) 361-7093

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.coltonbraucher@146010.advancedmd-direct.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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1568090553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124511",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUCHER",
        "first_name": "COLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1684262",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0997894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.