NPIMap

Individual provider Active NPI

Kelsey Lacomb, FNP-BC

  • Family Nurse Practitioner
  • Parker, CO
National Provider Identifier
1760264279
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998756-NP Issued in CO
Practice address
9403 Crown Crest Blvd Ste 300TVW
Parker, CO 80138-8882
Phone
(303) 269-4410
Fax
(303) 269-4411
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998756-NP CO Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 300TVW
Parker, CO 80138-8882

Mailing address

9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231202000013 CO Practitioner - Nurse Practitioner 3779931605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

9403 Crown Crest Blvd
Suite 300TVW
Parker, CO 80138-8882
Phone (303) 269-4410

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
72.92
Promoting interoperability
100
Improvement activities
40
Cost
72.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
Advanced Urgent Care LLC CurrentSince Oct 30, 2023 Accepting new patients
Platte River Medical Clinic LLC Current Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

9403 Crown Crest Blvd
Ste 300TVW
Parker, CO 80138
Phone (303) 269-4410

9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
  • Direct secure messaging: klacomb2585254@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 10

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1760264279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 300",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801389048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 300TVW",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388882",
            "telephone_number": "303-269-4410",
            "fax_number": "303-269-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMB",
        "first_name": "KELSEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998756-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.