Individual provider Active NPI

Rebecca Jane Oerter, FNP

  • Primary Care Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1841029220
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN.1000025-NP Issued in CO
Practice address
1825 Senda Rocosa St
Boulder, CO 80303-9636
Phone
(720) 238-2721
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.1000025-NP CO Primary

Addresses

Primary practice location

1825 Senda Rocosa St
Boulder, CO 80303-9636

Mailing address

1825 Senda Rocosa St
Boulder, CO 80303-9636
Phone (720) 238-2721

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
I20240904000649 CO Practitioner - Nurse Practitioner 9830639921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisdom Health PCGroup PAC ID 4284762501, 11 clinicians
Long Term Care and Rehab ConsultantsGroup PAC ID 5294733861, 58 clinicians

Practice addresses (Care Compare)

350 Ponca PL
Boulder, CO 80303-3828
Phone (303) 938-1110

4800 Tabor St
Wheat Ridge, CO 80033-2112
Phone (303) 421-4161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000025-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care and Rehab Consultants CurrentSince Aug 14, 2024 Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

4800 Tabor St
Wheat Ridge, CO 80033
Phone (303) 421-4161

3835 Harlan St
Wheat Ridge, CO 80033
Phone (303) 421-3600

Organizations & group practices 2

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1841029220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SENDA ROCOSA ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039636",
            "telephone_number": "720-238-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SENDA ROCOSA ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803039636",
            "telephone_number": "720-238-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTER",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.1000025-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.