Individual provider Active NPI

Katelyn Rodgers

  • Primary Care Nurse Practitioner
  • Denver, CO
National Provider Identifier
1629728878
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2021230465 Issued in CO
Practice address
1850 W 46TH Ave
Denver, CO 80211-1240
Phone
(802) 752-7201
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2021230465 CO Primary

Addresses

Primary practice location

1850 W 46TH Ave
Denver, CO 80211-1240

Mailing address

1850 W 46TH Ave
Denver, CO 80211-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH, NC, OR, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230925003749 CO Practitioner - Nurse Practitioner 1850745878 Reassigns benefits to 3 organizations
I20240710002631 OH Practitioner - Nurse Practitioner 1850745878 Reassigns benefits to 1 organization
I20240722002202 NC Practitioner - Nurse Practitioner 1850745878 Reassigns benefits to 1 organization
I20250411002082 OR Practitioner - Nurse Practitioner 1850745878 Reassigns benefits to 1 organization
I20250523000988 WA Practitioner - Nurse Practitioner 1850745878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021230465COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Family & Internal Medicine, LLC CurrentSince Oct 16, 2023 Accepting new patients
Infusion for Health, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Infusion for Health, P.C. CurrentSince Apr 14, 2024 Accepting new patients
Boulder Care Provider Group PA CurrentSince Jul 1, 2024 Accepting new patients
Performax Front Range Physical Therapy LLC PastSince Dec 2, 2016 Accepting new patients

Locations

135 S State College Blvd
Ste 350
Brea, CA 92821

1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525

3555 Stanford Rd
Ste 115
Fort Collins, CO 80525

8200 E Belleview Ave
Ste 505E
Greenwood Village, CO 80111
Phone (303) 741-0235

13402 W Coal Mine Ave
Ste 230
Littleton, CO 80127
Phone (303) 730-2167

1615 Foxtrail Dr
Bldg A
Loveland, CO 80538

9351 Grant St
Ste 110
Thornton, CO 80229
Phone (303) 407-1990

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1629728878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W 46TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W 46TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111240",
            "telephone_number": "802-752-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "2021230465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.