NPIMap

Organization Active NPI

Alder Grove Health Services, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1689122145
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALDER GROVE HEALTH SERVICES, INC
Practice address
90 Madison St Ste 302
Denver, CO 80206-5412
Phone
(720) 331-6899
Fax
(720) 889-9496
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Holly Vause, DNP, PMHNP-BCNPI 1831398403
Title
Psychiatric Nurse Practitioner
Phone
(720) 331-6899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

90 Madison St Ste 302
Denver, CO 80206-5412

Mailing address

90 Madison St Ste 302
Denver, CO 80206-5412
Phone (720) 331-6899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410002618 CO Part B Supplier - Clinic/Group Practice 0840553517 Receives reassigned benefits from 10 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Tax ID family
Alder Grove Health Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

90 Madison St
Ste 305
Denver, CO 80206
Phone (303) 481-3451

90 Madison St
Ste 302
Denver, CO 80206
Phone (720) 331-6899

90 Madison St
Ste 102
Denver, CO 80206
Phone (720) 331-6899

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1689122145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065412",
            "telephone_number": "720-331-6899",
            "fax_number": "720-889-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802065412",
            "telephone_number": "720-331-6899",
            "fax_number": "720-889-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDER GROVE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "VAUSE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-331-6899",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.