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Individual provider Active NPI

Keri A Munyan, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1568962116
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993691-NP Issued in CO
Practice address
1370 Interquest Parkway
Suite 210
Colorado Springs, CO 80920-8092
Phone
(719) 364-1650
Fax
(719) 364-1651
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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 0993691-NP CO Primary

Addresses

Primary practice location

1370 Interquest Parkway
Suite 210
Colorado Springs, CO 80920-8092

Mailing address

2695 Rocky Mountain Ave
Loveland, CO 80538-8702
Phone (970) 624-2420

Other practice location 1

6005 DelMonico Dr Ste 150
Colorado Springs, CO 80919-2264
Phone (719) 266-5244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620000460 CO Practitioner - Nurse Practitioner 6800141623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

6615 Delmonico Dr
Colorado Springs, CO 80919-1809
Phone (719) 364-9494

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993691-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P Vogt Inc CurrentSince Jun 8, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 13, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 13, 2023 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

6005 Delmonico Dr
Ste 150
Colorado Springs, CO 80919
Phone (719) 266-5244

1370 Interquest Pkwy
Ste 210
Colorado Springs, CO 80921
Phone (719) 364-1650

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

6615 Delmonico Dr
Colorado Springs, CO 80919
Phone (719) 364-9494

1370 Interquest Pkwy
Ste 300
Colorado Springs, CO 80921
Phone (719) 364-3750

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1568962116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-624-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 INTERQUEST PARKWAY",
            "address_2": "SUITE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208092",
            "telephone_number": "719-364-1650",
            "fax_number": "719-364-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 DelMonico Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809192264",
            "country_code": "US",
            "telephone_number": "719-266-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNYAN",
        "first_name": "KERI",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993691-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.