Individual provider Active NPI

Hannah Van Der Water, NP

  • Family Nurse Practitioner
  • Superior, CO
National Provider Identifier
1841704798
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993348-NP Issued in CO
Practice address
400 S McCaslin Blvd Ste 210
Superior, CO 80027-9701
Phone
(303) 993-7910
NPI assigned
Nov 29, 2017
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RXN.0102931-NP CO
Family Nurse Practitioner 363LF0000X APN.0993348-NP CO Primary
Registered Nurse 163W00000X RN.1622218 CO

Addresses

Primary practice location

400 S McCaslin Blvd Ste 210
Superior, CO 80027-9701

Mailing address

400 S McCaslin Blvd Ste 210
Superior, CO 80027-9701

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
I20171211001625 CO Practitioner - Nurse Practitioner 7214295757

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 E Iliff Ave
Suite 140
Aurora, CO 80014-4548

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1622218COMDRegistered Nurse
RXN.0102931-NPCOMDNurse Practitioner
APN.0993348-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Apr 3, 2020 Accepting new patients

Locations

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

Interoperability endpoints

  • Direct secure messaging: hannah.newman.1@14209.direct.athenahealth.com

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1841704798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 210",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 210",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-993-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER WATER",
        "first_name": "HANNAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "RXN.0102931-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993348-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1622218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

Verify at the official NPI Registry.