NPIMap

Individual provider Active NPI

Charles Kelley Simpson, M.D.

  • Radiation Oncology Physician
  • Lafayette, CO
National Provider Identifier
1871527754
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
28468 Issued in CO
Practice address
120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone
(303) 926-9800
Fax
(303) 926-9891
NPI assigned
Jul 10, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 28468 CO Primary

Addresses

Primary practice location

120 Old Laramie TRL E
Lafayette, CO 80026-7012

Mailing address

120 Old Laramie TRL E
Lafayette, CO 80026-7012
Phone (303) 926-9800

Other practice location 1

7720 S Broadway Ste 500
Littleton, CO 80122-2635
Phone (303) 926-9800

Other practice location 2

10463 Park Meadows Dr Ste 114
Lone Tree, CO 80124-5317
Phone (303) 733-8848

Other identifiers 5

IdentifierTypeStateIssuer
021766OtherCOKAISER COMMERCIAL NUMBER
01284686MedicaidCO
840900897OtherCOTAX ID
05854776MedicaidCO
841537239OtherCOTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019000366 NE Practitioner - Radiation Oncology 1153220876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Mississippi School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3563 Prairieview St
Suite 100
Grand Island, NE 68803-4442
Phone (308) 384-2446

815 N Kansas Ave
Hastings, NE 68901-4470
Phone (402) 460-5899

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28468COMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Radiation Oncology LLC Radiation Oncology Current Accepting new patients
The Mary Lanning Memorial Hospital Association Current Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Sep 6, 2023 Accepting new patients
The Mary Lanning Memorial Hospital Association Radiation Oncology CurrentSince Sep 6, 2023 Accepting new patients
Hastings Family Practice, P.C Past Accepting new patients

Locations

2121 E Harmony Rd
Unit 160
Fort Collins, CO 80528
Phone (970) 482-3328

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

815 N Kansas Ave
Hastings, NE 68901
Phone (402) 460-5899

815 N Kansas Ave
Ste 100
Hastings, NE 68901
Phone (402) 460-5899

Interoperability endpoints

  • Direct secure messaging: csimpson327643@direct.nebraskamed.com
  • Direct secure messaging: kelley.simpson@creeksidecancercare.providersdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1871527754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OLD LARAMIE TRL E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267012",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7720 S Broadway Ste 500",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222635",
            "country_code": "US",
            "telephone_number": "303-926-9800",
            "fax_number": "303-926-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10463 Park Meadows Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245317",
            "country_code": "US",
            "telephone_number": "303-733-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHARLES",
        "middle_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "28468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021766",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01284686",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "840900897",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05854776",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "841537239",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.