Individual provider Active NPI

Kelly McKenna Hersh, FNP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1871668335
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-5517 Issued in CO
Practice address
3920 Federal Blvd Ste B
Denver, CO 80211-2274
Phone
(720) 858-7474
NPI assigned
Nov 21, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 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 NP-5517 CO Primary

Addresses

Primary practice location

3920 Federal Blvd Ste B
Denver, CO 80211-2274

Mailing address

3920 Federal Blvd Ste B
Denver, CO 80211-2274
Phone (208) 587-4747

Other names 1

  • Miss Kelly McKenna Doane Former name

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
I20111215000033 CO Practitioner - Nurse Practitioner 5597766618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

3920 Federal Blvd
Suite B
Denver, CO 80211-2274
Phone (720) 858-7474

9331 S Colorado Blvd
Suite 100
Highlands Ranch, CO 80126-7465
Phone (303) 795-8177

Merit-based Incentive Payment System (MIPS)

Final score
64.87 of 100Reported as group
Quality
41.92
Promoting interoperability
62
Improvement activities
40
Cost
72.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-5517COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical Foundation Family Medicine Past Accepting new patients
Colorado Allergy and Asthma Centers, PC PastSince Jul 25, 2021 Accepting new patients

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, 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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1871668335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 FEDERAL BLVD STE B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112274",
            "telephone_number": "208-587-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 FEDERAL BLVD STE B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112274",
            "telephone_number": "720-858-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "KELLY",
        "middle_name": "MCKENNA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-5517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DOANE",
            "middle_name": "MCKENNA",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.