Individual provider Active NPI

Rachel Kellbach, NP

  • Acute Care Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1790357432
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0996897-NP Issued in CO
Practice address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone
(719) 365-5000
NPI assigned
Jul 13, 2021
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 1659099 CO
Acute Care Nurse Practitioner 363LA2100X APN.0996897-NP CO Primary

Addresses

Primary practice location

1400 E Boulder St
Colorado Springs, CO 80909-5533

Mailing address

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-1292

Other practice location 1

1555 Xavier St
Denver, CO 80204-2111
Phone (303) 981-1727

Other practice location 2

9980 Silver Maple Rd
Highlands Ranch, CO 80129-5469
Phone (303) 981-1727

Other identifiers 1

IdentifierTypeStateIssuer
9000197155MedicaidCO

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
I20211103002821 CO Practitioner - Nurse Practitioner 4789072117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Wound Care PLLCGroup PAC ID 5991234668, 3 clinicians

Practice addresses (Care Compare)

9980 Silver Maple Rd
Highlands Ranch, CO 80129-5469
Phone (303) 981-1727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1659099COMDNurse Practitioner
APN.0996897-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Sober Living LLC CurrentSince Dec 1, 2024 Accepting new patients
Colorado Springs Pulmonary Consultants PC CurrentSince Oct 1, 2022 Accepting new patients
Beacon Wound Care PLLC CurrentSince May 1, 2025 Accepting new patients
Rocky Mountain Transformational Recovery, LLC CurrentSince Dec 1, 2024 Accepting new patients
Beacon Wound Care PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

2222 N Nevada Ave
Ste 4004
Colorado Springs, CO 80907
Phone (719) 471-7064

5 W Las Vegas St
Colorado Springs, CO 80903
Phone (303) 981-1727

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1790357432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-1292",
            "fax_number": "719-365-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Xavier St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802042111",
            "country_code": "US",
            "telephone_number": "303-981-1727",
            "fax_number": "720-378-4377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9980 Silver Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801295469",
            "country_code": "US",
            "telephone_number": "303-981-1727",
            "fax_number": "720-378-4377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLBACH",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1659099",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996897-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000197155",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.