Kimberly Nichole Ross, NP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0998307-NP Issued in CO

Practice address

9475 Briar Village PT Ste 320
Colorado Springs, CO 80920-7905

Phone

(970) 310-3406

NPI assigned

Jun 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Kimberly Nichole Flake Former name

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.flake@3675.securemail.prognocis.com
• Direct secure messaging: lifestancehealth.kimberlyflake@146010.advancedmd-direct.com

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.

• Heart Centered Counseling, PC

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1588038681

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Arapahoe Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Parker, CO
  • NPI 1437763968
  Medicare reassignment NPD
• Bailey Mind and Body Connection, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1699439653
  Medicare reassignment NPD
• Canyon Ridge Integrative Health LLC

  • Nurse Practitioner
  • Castle Pines, CO
  • NPI 1497451355

  Family

  Medicare reassignment NPD
• Colorado Pain Practice, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lakewood, CO
  • NPI 1508285776
  Medicare reassignment NPD
• Mountain View Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lone Tree, CO
  • NPI 1912403544
  Medicare reassignment NPD
• Colorado Center for Pain and Wellness, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1033918131
  Medicare reassignment
• Arapahoe Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Littleton, CO
  • NPI 1437764297
  NPD
• Arapahoe Mental Health Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Watkins, CO
  • NPI 1710868609
  NPD
• Colorado Pain Practice, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1962037572
  NPD
• Colorado Pain Practice, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Castle Rock, CO
  • NPI 1568147270
  NPD
• Heart Centered Counseling, PC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1558158584

  Psychiatric/Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1669733838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207905",
            "telephone_number": "719-220-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 320",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207905",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14344 White Peak Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809212832",
            "country_code": "US",
            "telephone_number": "720-530-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KIMBERLY",
        "middle_name": "NICHOLE",
        "credential": "NP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0000864",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998307-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998307-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16683",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R868155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529089",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "16683",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R868155",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FLAKE",
            "middle_name": "NICHOLE",
            "credential": "NP, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dena Cheryl Wilensky Ross, MD, MBA, FAAP
• Elizabeth Ross, LMFT, LPC, NCC, RPT
• Justin Cameron Ross, DO
• Kaci Ross
• Kara Ross, PTA
• Margaret Ross
• Michael David Ross, M.D., PH.D.
• Michal Ross, LMT
• Mikayla Ross
• Nicholas Ross

• Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.