Individual provider Active NPI

Krissy Renee Spahr, ACNP-BC, PMHNP

  • Acute Care Nurse Practitioner
  • Palisade, CO
National Provider Identifier
1568734366
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0993851 Issued in CO
Practice address
151 E 3Rd St
Palisade, CO 81526-5006
Phone
(970) 200-4598
Fax
(970) 257-2401
NPI assigned
Feb 8, 2012
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0993851 CO Primary

Addresses

Primary practice location

151 E 3Rd St
Palisade, CO 81526-5006

Mailing address

151 E 3Rd St
Palisade, CO 81526-5006
Phone (970) 200-4598

Other practice location 1

2635 N 7th St
Grand Junction, CO 81501-8209
Phone (970) 298-2273

Other practice location 2

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

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
I20180904001066 CO Practitioner - Nurse Practitioner 8729338280 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993851COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Surgical Affiliates, LLC CurrentSince Feb 12, 2021 Accepting new patients
St Mary's Hospital and Medical Center, Inc Family Medicine Current Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Jul 1, 2018 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Jul 1, 2018 Accepting new patients
Colorado Surgical Affiliates, LLC CurrentSince Feb 12, 2021 Accepting new patients

Locations

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1568734366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 3RD ST",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815265006",
            "telephone_number": "970-200-4598",
            "fax_number": "612-682-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 3RD ST",
            "city": "PALISADE",
            "state": "CO",
            "postal_code": "815265006",
            "telephone_number": "970-200-4598",
            "fax_number": "970-257-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018209",
            "country_code": "US",
            "telephone_number": "970-298-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAHR",
        "first_name": "KRISSY",
        "middle_name": "RENEE",
        "credential": "ACNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0993851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisade, CO

Sources for this page

Verify at the official NPI Registry.