Individual provider Active NPI

Kelly Jade Klym, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1851078737
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022089754 Issued in CO
Practice address
7645 Rickshaw Dr
Colorado Springs, CO 80920-4010
Phone
(443) 681-0563
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2022089754 CO
Family Nurse Practitioner 363LF0000X 2022089754 CO Primary

Addresses

Primary practice location

7645 Rickshaw Dr
Colorado Springs, CO 80920-4010

Mailing address

7645 Rickshaw Dr
Colorado Springs, CO 80920-4010
Phone (443) 681-0563

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
I20231129003813 CO Practitioner - Nurse Practitioner 8628426798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
86.71
Improvement activities
40
Cost
66.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022089754COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Family Medical Center Inc CurrentSince Nov 29, 2024 Accepting new patients
Pikes Peak Hyperbaric Medicine CurrentSince Nov 15, 2023 Accepting new patients
Pikes Peak Hyperbaric Medicine CurrentSince Nov 15, 2023 Accepting new patients

Locations

162 Tracker Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 219-9819

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 3

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1851078737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 RICKSHAW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204010",
            "telephone_number": "443-681-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 RICKSHAW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204010",
            "telephone_number": "443-681-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYM",
        "first_name": "KELLY",
        "middle_name": "JADE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "2022089754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "2022089754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.