Lara M Kroepsch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-3412 Issued in CO

Practice address

311 Mapleton Ave
Boulder, CO 80304-3979

Phone

(303) 544-5700

Fax

(303) 544-5710

NPI assigned

Apr 3, 2012

Last updated

Jul 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Valley View Hospital Association

  dba After Hours Urgent Care at Valley View

  • Urgent Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1790397008
  Medicare reassignment NPD
• Valley View Hospital Association

  dba Valley View Hospital Professional Services

  • Emergency Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1114654795
  Medicare reassignment
• Valley View Hospital Association

  dba The Spine Center at Valley View

  • Neurological Surgery Physician
  • Aspen, CO
  • NPI 1376134841
  Medicare reassignment
• Valley View Hospital Association

  dba Calaway Young Cancer Center

  • Hospitalist Physician
  • Glenwood SPGS, CO
  • NPI 1619118064
  Medicare reassignment
• Seattle Children's Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  Medicare reassignment
• Pathology Assoc of the Roaring Fork

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood SPGS, CO
  • NPI 1386624203
  NPD
• Valley View Hospital Association

  • Neurological Surgery Physician
  • Silt, CO
  • NPI 1124662952
  NPD
• Valley View Hospital Association

  dba Calaway Young Cancer Center

  • Medical Oncology Physician
  • Rifle, CO
  • NPI 1215539374
  NPD
• Valley View Hospital Association

  dba Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Carbondale, CO
  • NPI 1457235202
  NPD
• Valley View Hospital Association

  dba Surgeons at Valey View

  • Surgery Physician
  • Glenwood SPGS, CO
  • NPI 1518353218
  NPD
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133
  NPD
• Seattle Childrens Hospital

  dba Seattle Childrens Outpatient Pharmacy

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1245342153
  NPD

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1902162084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043972",
            "telephone_number": "303-544-5783",
            "fax_number": "303-441-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043979",
            "telephone_number": "303-544-5700",
            "fax_number": "303-544-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEPSCH",
        "first_name": "LARA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-3412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1103169",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12139858",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefanie L Krenz, MD
• Bonnie S Krim, RN
• Katherine Shaw Kripke, LCSW
• Kristin Brousseau, DO, PC (Boulder Neuropsychiatry)
• Carly Mae Kroening
• Krueger Optometry LLC
• Jennifer Lynn Krueger, OD
• Wendy Leeoiler Krueger, LSW
• David H. Kruger
• Irving Kruger

• Physician Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.