Individual provider Active NPI

Ama A Koomson, FNP

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1841051711
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0999439 Issued in CO
Practice address
2121 S Blackhawk St Ste 110
Aurora, CO 80014-1488
Phone
(303) 353-2530
NPI assigned
Jan 18, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0999439 CO Primary

Addresses

Primary practice location

2121 S Blackhawk St Ste 110
Aurora, CO 80014-1488

Mailing address

2121 S Blackhawk St Ste 110
Aurora, CO 80014-1488
Phone (303) 353-2530

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
I20240531002872 CO Practitioner - Nurse Practitioner 8527431105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patients First Medical, LLCGroup PAC ID 4587894589, 3 clinicians

Practice addresses (Care Compare)

2121 S Blackhawk St
Suite 110
Aurora, CO 80014-1488
Phone (303) 353-2530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0999439COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Medical LLC CurrentSince May 21, 2024 Accepting new patients

Locations

2121 S Blackhawk St
Ste 110
Aurora, CO 80014
Phone (303) 353-2530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18039/brand/1/csg/1/fhir/r4

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, 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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1841051711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S BLACKHAWK ST STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141488",
            "telephone_number": "303-353-2530",
            "fax_number": "720-535-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S BLACKHAWK ST STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141488",
            "telephone_number": "303-353-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOMSON",
        "first_name": "AMA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0999439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.