Individual provider Active NPI

Lisa Karen Prince, M.D.

  • Nephrology Physician
  • Denver, CO
National Provider Identifier
1689767154
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
61378 Issued in CO
Practice address
130 Rampart Way Ste 300B
Denver, CO 80230-6451
Phone
(303) 327-4700
Fax
(303) 327-4711
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X VA0101239754 VA
Nephrology Physician 207RN0300X 61378 CO Primary

Addresses

Primary practice location

130 Rampart Way Ste 300B
Denver, CO 80230-6451

Mailing address

130 Rampart Way Ste 300B
Denver, CO 80230-6451
Phone (303) 327-4711

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313001086 CO Practitioner - Nephrology 1658503180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Nephrologists PCGroup PAC ID 8729991393, 45 clinicians

Practice addresses (Care Compare)

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 991-0993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
VA0101239754VAMDInternal Medicine Physician
61378COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Nephrologists, PC Nephrology CurrentSince May 1, 2019 Accepting new patients
Denver Nephrologists PC Nephrology Current Accepting new patients
Denver Nephrologists, PC CurrentSince May 1, 2019 Accepting new patients

Locations

1411 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 367-2225

13901 E Exposition Ave
Ste 202
Denver, CO 80012
Phone (720) 413-1693

919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256

130 Rampart Way
Ste 300B
Denver, CO 80230
Phone (303) 343-4700

Interoperability endpoints

  • Direct secure messaging: lisa.prince@psl.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 7

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1689767154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY STE 300B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306451",
            "telephone_number": "303-327-4711",
            "fax_number": "301-295-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RAMPART WAY STE 300B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306451",
            "telephone_number": "303-327-4700",
            "fax_number": "303-327-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "LISA",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "VA0101239754",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "61378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.