Individual provider Active NPI

Michelle Rensel

  • Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1689083438
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0991245.NP Issued in CO
Practice address
3109 35TH Ave Unit A102
Greeley, CO 80634-9479
Phone
(303) 209-6371
Fax
(877) 325-2102
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0991245.NP CO Primary

Addresses

Primary practice location

3109 35TH Ave Unit A102
Greeley, CO 80634-9479

Mailing address

3109 35TH Ave Unit A102
Greeley, CO 80634-9479
Phone (303) 209-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR, NM, OH, NC, WA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20141023001634 CO Practitioner - Nurse Practitioner 9931320512 Reassigns benefits to 2 organizations
I20220420002219 OR Practitioner - Nurse Practitioner 9931320512 Reassigns benefits to 2 organizations
I20220817001757 NM Practitioner - Nurse Practitioner 9931320512
I20240227001458 OH Practitioner - Nurse Practitioner 9931320512 Reassigns benefits to 1 organization
I20240429003528 NC Practitioner - Nurse Practitioner 9931320512 Reassigns benefits to 1 organization
I20250813001776 WA Practitioner - Nurse Practitioner 9931320512 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
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
APN.0991245.NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince May 1, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Feb 1, 2022 Accepting new patients
Boulder Care Provider Group PA CurrentSince Mar 26, 2024 Accepting new patients
Vera Whole Health Wa PC PastSince Mar 1, 2020 Accepting new patients

Locations

1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525

1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

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

7185 SW Sandburg St
Ste 120
Tigard, OR 97223
Phone (503) 461-7106

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

Organizations & group practices 4

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1689083438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 35TH AVE UNIT A102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349479",
            "telephone_number": "303-209-6371",
            "fax_number": "877-325-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 35TH AVE UNIT A102",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349479",
            "telephone_number": "303-209-6371",
            "fax_number": "877-325-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENSEL",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991245.NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.