Individual provider Active NPI

Stacey Colleen Wynne-Urbanowicz, NP-C

  • Adult Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1578096665
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0993022-NP Issued in CO
Practice address
11293 E Ida PL
Englewood, CO 80111-4102
Phone
(720) 406-1164
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0993022-NP CO Primary

Addresses

Primary practice location

11293 E Ida PL
Englewood, CO 80111-4102

Mailing address

999 17TH St Ste 500
Denver, CO 80202-2728
Phone (720) 434-4876

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
I20170522000724 CO Practitioner - Nurse Practitioner 4587931613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Family Medical Center IncGroup PAC ID 0446151617, 64 clinicians

Practice addresses (Care Compare)

999 17TH St
Suite 500
Denver, CO 80202-2728
Phone (720) 355-0539

Hospital & facility affiliations

  • Optimal Home Care Inc Home health agency, Denver, CO, CCN 067453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993022-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Family Medical Center Inc CurrentSince Feb 20, 2025 Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • Direct secure messaging: ms_swynneu@landmarkhealth-direct.org

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1578096665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 17TH ST STE 500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022728",
            "telephone_number": "720-434-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11293 E IDA PL",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114102",
            "telephone_number": "720-406-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE-URBANOWICZ",
        "first_name": "STACEY",
        "middle_name": "COLLEEN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993022-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.