Individual provider Active NPI

Eric Kinsman, M.D.

  • Psychiatry Physician
  • Fort Polk, LA
National Provider Identifier
1619225083
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101255213 Issued in VA
Practice address
1585 3Rd St
Fort Polk, LA 71459
Phone
(337) 531-2898
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101255213 VA Primary

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459

Mailing address

5989 Harrell PL Apt B
Fort Polk, LA 71459-3684
Phone (415) 430-8685

Other practice location 1

8901 Wisconsin Ave
Bldg 19 Room 6407
Bethesda, MD 20889-0004
Phone (301) 295-4503

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000866 CO Practitioner - Psychiatry 0042437287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

3351 Eastbrook Dr
Suite 200
Fort Collins, CO 80525-5744
Phone (888) 374-5066

3715 Parkmoor Village Dr
Suite 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101255213VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatry CurrentSince Feb 20, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Feb 20, 2023 Accepting new patients
Wrnmmcb Past Accepting new patients

Locations

4700 Castleton Way
Ste 200
Castle Rock, CO 80109

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

9362 Grand Cordera Pkwy
Ste 100
Colorado Springs, CO 80924
Phone (719) 345-0429

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

9524 Federal Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 394-3352

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

63 N Quebec St
Ste 201
Denver, CO 80230
Phone (303) 248-7897

4660 Yosemite St
Ste 201
Denver, CO 80238
Phone (303) 872-1740

750 W Hampden Ave
Ste 350
Englewood, CO 80110
Phone (303) 872-1734

3351 Eastbrook Dr
Ste 200
Fort Collins, CO 80525
Phone (970) 500-0164

350 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 248-7899

9135 Ridgeline Blvd
Ste 160
Highlands Ranch, CO 80129
Phone (303) 800-6093

13402 W Coal Mine Ave
Ste 110
Littleton, CO 80127
Phone (303) 248-7894

10535 Park Meadows Blvd
Ste 200
Lone Tree, CO 80124
Phone (303) 228-8958

363 Centennial Pkwy
Ste 220
Louisville, CO 80027
Phone (303) 879-9074

1880 Fall River Dr
Ste 250
Loveland, CO 80538
Phone (970) 775-8626

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

10120 Twenty Mile Rd
Ste 100
Parker, CO 80134
Phone (303) 228-8871

471 S Baldwin St
Ste 200
Woodland Park, CO 80863

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1619225083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5989 HARRELL PL APT B",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714593684",
            "telephone_number": "415-430-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "71459",
            "telephone_number": "337-531-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Wisconsin Ave",
            "address_2": "Bldg 19 Room 6407",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890004",
            "country_code": "US",
            "telephone_number": "301-295-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSMAN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101255213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

Verify at the official NPI Registry.