Kelsey J Ninow, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3120 Issued in CO

Practice address

7030 S Yosemite St
Centennial, CO 80112-2026

Phone

(303) 721-9984

Fax

(909) 267-7304

NPI assigned

Dec 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelsey J Lundeen 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

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinix Health Services of Colorado IncGroup PAC ID 1759277056, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kelseylundeen@clhealth.allscriptsdirect.net

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.

• Clinix Health Services of Colorado Inc

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1912011073
  Medicare reassignment Care Compare group
• Clinix Health Services

  • Chiropractor
  • Centennial, CO
  • NPI 1154333821
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1740583012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122026",
            "telephone_number": "303-721-9984",
            "fax_number": "303-267-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122026",
            "telephone_number": "303-721-9984",
            "fax_number": "909-267-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINOW",
        "first_name": "KELSEY",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01099664",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "LUNDEEN",
            "middle_name": "J",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt E Nielsen, D.D.S.
• Lisa Nielsen
• Nikayla C Nigh, BCBA
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• Emilie Kimiko Nishimoto, RDH
• Phyllis Njoroge
• Noble Therapy
• Karley Nobles, MS,LPC
• Cassidy Noe

• Physician Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.