Individual provider Active NPI

Charlotte Marie Popovich, ACNP

  • Acute Care Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1790021913
Registry record updated Dec 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0990557 Issued in CO
Practice address
6307 S Gallup St
Littleton, CO 80120-3307
Phone
(303) 916-3939
NPI assigned
Dec 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0990557 CO Primary

Addresses

Primary practice location

6307 S Gallup St
Littleton, CO 80120-3307

Mailing address

6307 S Gallup St
Littleton, CO 80120-3307
Phone (303) 916-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130904000397 CO Practitioner - Nurse Practitioner 3476796848 Reassigns benefits to 5 organizations
I20220111000560 WY Practitioner - Nurse Practitioner 3476796848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0990557COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Hospice and Palliative Care Inc CurrentSince Apr 21, 2025 Accepting new patients
Pathways Hospice Internal Medicine CurrentSince Apr 21, 2025 Accepting new patients
Hospice of Metro Denver, Inc CurrentSince Apr 21, 2025 Accepting new patients
Care Synergy Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Hospice of Metro Denver, Inc Current Accepting new patients
Pathways Hospice CurrentSince Apr 21, 2025 Accepting new patients
Pathways Hospice Internal Medicine Current Accepting new patients
Pikes Peak Hospice and Palliative Care Inc CurrentSince Apr 21, 2025 Accepting new patients
Pikes Peak Hospice and Palliative Care Inc Current Accepting new patients
Pathways Hospice Past Accepting new patients
Pathways Hospice Past Accepting new patients
Hospice of Metro Denver, Inc Past Accepting new patients
Pathways Hospice Past Accepting new patients

Locations

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

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

4075 W 11th St
Greeley, CO 80634
Phone (970) 356-4090

Organizations & group practices 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1790021913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 S GALLUP ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801203307",
            "telephone_number": "303-916-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S GALLUP ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801203307",
            "telephone_number": "303-916-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH",
        "first_name": "CHARLOTTE",
        "middle_name": "MARIE",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0990557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.