Kelli Eisenbrown

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00003801 Issued in CO

Practice address

4535 Milestone LN Ste B-C
Castle Rock, CO 80104-7918

Phone

(720) 547-3151

Fax

(877) 647-0202

NPI assigned

Sep 27, 2013

Last updated

Nov 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Urgent Care Professional CorporationGroup PAC ID 5092053751, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Louisville, CO
  • NPI 1497227060
  Medicare reassignment Care Compare group
• William Storms Allergy Clinic PC

  • Allergy & Immunology Physician
  • Colorado Springs, CO
  • NPI 1184635914
  Medicare reassignment NPD (past)
• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1417550591
  NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Longmont, CO
  • NPI 1891483442
  NPD
• Urgent Care Solutions Glendale, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1568904100
  NPD
• William Storms Allergy Clinic PC

  dba Aspire Allergy & Sinus

  • Allergy Physician
  • Colorado Springs, CO
  • NPI 1073120945
  NPD
• William Storms Allergy Clinic PC

  dba Aspire Allergy & Sinus

  • Allergy Physician
  • Castle Rock, CO
  • NPI 1669089538
  NPD
• Greenwood Pediatrics PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1619013448
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1770910317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR",
            "address_2": "SUITE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MILESTONE LN STE B-C",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047918",
            "telephone_number": "720-547-3151",
            "fax_number": "877-647-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBROWN",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "00003801",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "AP144213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Edwards, FNP-C
• Kristin Marie Edwards, DO
• Madison Love Edwards, LCSW
• Jason Ehtessabian, D.D.S.
• Nadege Eilerman, DDS
• Elevated Pathology PLLC
• Elevation Vision OD PLLC
• Elite Anesthesia Concepts Inc
• Elizabeth Straka Speech Associates
• Jennifer Lee Elliott, M.ED.

• Medical Physician Assistant in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.