NPIMap

Individual provider Active NPI

Stefanie Eymar, NP

  • Adult Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1639579790
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0991277-NP Issued in CO
Practice address
1635 Aurora CT FL 4
Aurora, CO 80045-2541
Phone
(720) 848-0000
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0991277-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0991277-NP CO Primary

Addresses

Primary practice location

1635 Aurora CT FL 4
Aurora, CO 80045-2541

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other identifiers 2

IdentifierTypeStateIssuer
368690ZJUROtherCOMEDICARE PTAN
04972767MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014000236 CO Practitioner - Nurse Practitioner 5294955373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

13659 E 104TH Ave
Suite 300 400
Commerce City, CO 80022-9402
Phone (720) 506-5340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0991277-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology of the Rockies, LLC Current Accepting new patients
Neurology of the Rockies, LLC CurrentSince Dec 19, 2022 Accepting new patients
Neurology of the Rockies, LLC CurrentSince Dec 19, 2022 Accepting new patients

Locations

4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636

5825 Delmonico Dr
Ste 102
Colorado Springs, CO 80919
Phone (303) 381-0929

950 E Harvard Ave
Ste 570
Denver, CO 80210
Phone (303) 715-9024

125 Inverness Dr E
Ste 330
Englewood, CO 80112
Phone (303) 799-1443

9235 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-5051

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.

Hospital & facility affiliations 9

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1639579790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT FL 4",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYMAR",
        "first_name": "STEFANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991277-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0991277-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "368690ZJUR",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04972767",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.