Individual provider Active NPI

Kimberly Statler Bennett, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Denver, CO
National Provider Identifier
1710066287
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
DR0053849 Issued in CO
Practice address
8289 E Lowry Blvd
Denver, CO 80230-7256
Phone
(303) 321-2828
Fax
(303) 321-7171
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DR0053849 CO Primary
Pediatric Critical Care Medicine Physician 2080P0203X DR0053849 CO

Addresses

Primary practice location

8289 E Lowry Blvd
Denver, CO 80230-7256

Mailing address

8289 E Lowry Blvd
Denver, CO 80230-7256
Phone (303) 321-2828

Other names 1

  • Kimberly Dawn Statler Former name

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
I20150126001786 CO Practitioner - Hospice/Palliative CarePractitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 8123061520 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0053849COMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Metro Denver, Inc Hospice and Palliative Medicine CurrentSince Jan 11, 2020 Accepting new patients
Hospice of Metro Denver, Inc Hospice and Palliative Medicine CurrentSince Jan 11, 2020 Accepting new patients
Pikes Peak Hospice and Palliative Care Inc CurrentSince Oct 15, 2023 Accepting new patients
Care Synergy Medical Group LLC Hospice and Palliative Medicine CurrentSince Aug 1, 2025 Accepting new patients
Pathways Hospice Hospice and Palliative Medicine CurrentSince Dec 4, 2023 Accepting new patients
Pikes Peak Hospice and Palliative Care Inc Hospice and Palliative Medicine CurrentSince Oct 15, 2023 Accepting new patients
Pathways Hospice Hospice and Palliative Medicine Current Accepting new patients
Pathways Hospice Hospice and Palliative Medicine CurrentSince Dec 4, 2023 Accepting new patients
Children's Hospital Colorado Current Accepting new patients
Pathways Hospice Hospice and Palliative Medicine Past Accepting new patients
Department of Pediatrics University of Utah Pediatrics Past Accepting new patients
Hospice of Metro Denver, Inc Hospice and Palliative Medicine Past Accepting new patients
Pathways Hospice Hospice and Palliative Medicine Past Accepting new patients

Locations

6750 W 52nd Ave
Arvada, CO 80002
Phone (303) 329-0870

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

2550 Tenderfoot Hill St
Colorado Springs, CO 80906
Phone (719) 633-3400

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

8299 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

501 S Cherry St
Ste 700
Glendale, CO 80246
Phone (303) 321-2828

Interoperability endpoints

  • Direct secure messaging: kbennett53358@direct.childrenscolorado.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1710066287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-321-2828",
            "fax_number": "303-321-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-321-2828",
            "fax_number": "303-321-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KIMBERLY",
        "middle_name": "STATLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR0053849",
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CO",
            "license": "DR0053849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STATLER",
            "middle_name": "DAWN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.