Individual provider Active NPI

Raena Schneiderman, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1851132641
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0999704 Issued in CO
Practice address
10571 Colorado Blvd Unit E108
Thornton, CO 80233-3965
Phone
(303) 598-9296
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
No

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
Acute Care Nurse Practitioner 363LA2100X APN.0999704 CO Primary

Addresses

Primary practice location

10571 Colorado Blvd Unit E108
Thornton, CO 80233-3965

Mailing address

10571 Colorado Blvd Unit E108
Thornton, CO 80233-3965
Phone (303) 598-9296

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
I20240924000942 CO Practitioner - Nurse Practitioner 7315488830 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
Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999704COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Housecalls LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1851132641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10571 COLORADO BLVD UNIT E108",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802333965",
            "telephone_number": "303-598-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 COLORADO BLVD UNIT E108",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802333965",
            "telephone_number": "303-598-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDERMAN",
        "first_name": "RAENA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0999704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.