Individual provider Active NPI

Yohannes Wolde, NP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1578434338
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1001175-NP Issued in CO
Practice address
9218 Kimmer Dr Ste 200
Lone Tree, CO 80124-6733
Phone
(303) 683-5620
Fax
(303) 683-5609
NPI assigned
Sep 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1001175-NP CO Primary

Addresses

Primary practice location

9218 Kimmer Dr Ste 200
Lone Tree, CO 80124-6733

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

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
I20260311001039 CO Practitioner - Nurse Practitioner 2365925047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1065 NE 125TH St
Suite 300
North Miami, FL 33161-5833

13520 Tree Sparrow LN
Parker, CO 80134-6081

2247 S Nome CT
Aurora, CO 80014-4901

5687 Sunshade PT
Colorado Springs, CO 80923-7570

PO Box
Suite 323
Coweta, OK 74429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1001175-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Colorado Healthcare Systems, Inc. Psychiatric/Mental Health CurrentSince Mar 10, 2026 Accepting new patients
Compass Colorado Healthcare Systems, Inc Psychiatric/Mental Health CurrentSince Mar 10, 2026 Accepting new patients

Locations

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

9218 Kimmer Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 683-5620

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

Organizations & group practices 5

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1578434338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9218 KIMMER DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246733",
            "telephone_number": "303-683-5620",
            "fax_number": "303-683-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDE",
        "first_name": "YOHANNES",
        "credential": "NP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1001175-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.