Individual provider Active NPI

Karen F Rudy, APRN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1629881040
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1000399 Issued in CO
Practice address
2299 Pearl St Ste 205
Boulder, CO 80302-4670
Phone
(720) 458-5413
Fax
(720) 815-0397
NPI assigned
Jan 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X 0185523 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1000399 CO Primary

Addresses

Primary practice location

2299 Pearl St Ste 205
Boulder, CO 80302-4670

Mailing address

2299 Pearl St Ste 205
Boulder, CO 80302-4670
Phone (720) 458-5413

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
I20250410001990 CO Practitioner - Nurse Practitioner 4981128097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Minds Psychiatry LLCGroup PAC ID 7810382728, 11 clinicians

Practice addresses (Care Compare)

12760 Stroh Ranch Way
Suite 104
Parker, CO 80134-7505
Phone (720) 458-5413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0185523COMDInpatient Obstetric Registered Nurse
1000399COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Minds Psychiatry LLC CurrentSince Apr 1, 2025 Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients

Locations

2299 Pearl St
Ste 205
Boulder, CO 80302
Phone (720) 458-5413

12760 Stroh Ranch Way
Ste 203
Parker, CO 80134
Phone (720) 458-5413

12760 Stroh Ranch Way
Ste 104
Parker, CO 80134
Phone (720) 458-5413

Organizations & group practices 2

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1629881040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024670",
            "telephone_number": "720-458-5413",
            "fax_number": "720-815-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 PEARL ST STE 205",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024670",
            "telephone_number": "720-458-5413",
            "fax_number": "720-815-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "KAREN",
        "middle_name": "F",
        "credential": "APRN, PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CO",
            "license": "0185523",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1000399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.