Individual provider Active NPI

Rosanne Kay Iversen, M.D.

  • Family Medicine Physician
  • Steamboat Springs, CO
National Provider Identifier
1881612778
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31614 Issued in CO
Practice address
501 Anglers Dr
Suite 201
Steamboat Springs, CO 80487-8840
Phone
(970) 871-1323
Fax
(970) 871-9177
NPI assigned
Jul 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31614 CO Primary

Addresses

Primary practice location

501 Anglers Dr
Suite 201
Steamboat Springs, CO 80487-8840

Mailing address

PO Box 775478
Steamboat Springs, CO 80477-5478
Phone (970) 879-9523

Other identifiers 1

IdentifierTypeStateIssuer
01316140MedicaidCO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000583 CO Practitioner - Family Practice 0244126233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Anglers Dr
Suite 201
Steamboat Springs, CO 80487-8841
Phone (970) 871-1323

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31614COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rosanne K Iversen MD PC Family Medicine CurrentSince Aug 15, 1999 Accepting new patients

Locations

501 Anglers Dr
Ste 201
Steamboat Springs, CO 80487
Phone (970) 871-1323

Interoperability endpoints

  • Direct secure messaging: steamboatspringsfamilymedicine.rosanneiversen@125825.advancedmd-direct.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.

Hospital & facility affiliations 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881612778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775478",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804775478",
            "telephone_number": "970-879-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR",
            "address_2": "SUITE 201",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878840",
            "telephone_number": "970-871-1323",
            "fax_number": "970-871-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSEN",
        "first_name": "ROSANNE",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01316140",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.