Individual provider Active NPI

Kalene Mears Ethington, FNP-C

  • Nurse Practitioner
  • Monument, CO
National Provider Identifier
1790320844
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0996115-NP Issued in CO
Practice address
188 Walters Creek Dr
Monument, CO 80132-7941
Phone
(509) 230-8979
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0996115-NP CO Primary
Family Nurse Practitioner 363LF0000X C-APN.0001739-C-NP CO

Addresses

Primary practice location

188 Walters Creek Dr
Monument, CO 80132-7941

Mailing address

188 Walters Creek Dr
Monument, CO 80132-7941
Phone (509) 230-8979

Other names 1

  • Kalene Mears 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504002425 CO Practitioner - Nurse Practitioner 2961811914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Family Medical Center IncGroup PAC ID 0446151617, 64 clinicians

Practice addresses (Care Compare)

999 17TH St
Suite 500
Denver, CO 80202-2728
Phone (720) 355-0539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0001739-C-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Family Medical Center Inc Family Medicine CurrentSince Mar 14, 2022 Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

5920 McIntyre St
Golden, CO 80403
Phone (303) 949-1250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1790320844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 WALTERS CREEK DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327941",
            "telephone_number": "509-230-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 WALTERS CREEK DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327941",
            "telephone_number": "509-230-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHINGTON",
        "first_name": "KALENE",
        "middle_name": "MEARS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996115-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001739-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALENE",
            "last_name": "MEARS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.