Individual provider Active NPI

Letitia Ann Drexelius, FNP-C

  • Family Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1902246234
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0990558-NP Issued in CO
Practice address
9695 S Yosemite St Ste 324
Lone Tree, CO 80124-2890
Phone
(303) 706-9054
Fax
(303) 302-9799
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 APN.0990558-NP CO Primary

Addresses

Primary practice location

9695 S Yosemite St Ste 324
Lone Tree, CO 80124-2890

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (719) 463-5600

Other practice location 1

17866 Cottonwood Dr
Parker, CO 80134-3924
Phone (303) 360-6276

Other names 1

  • Letitia Ann Rhodes 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
I20140620000678 CO Practitioner - Nurse Practitioner 6507080116 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0990558-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Family Medicine CurrentSince Nov 25, 2024 Accepting new patients
Metro Community Provider Network Inc CurrentSince Oct 20, 2022 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Nov 25, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 20, 2022 Accepting new patients

Locations

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2255 S Oneida St
Denver, CO 80224

3701 S Broadway
Englewood, CO 80113

9695 S Yosemite St
Ste 324
Lone Tree, CO 80124
Phone (303) 706-9054

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 6

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1902246234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "719-463-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 324",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-706-9054",
            "fax_number": "303-302-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17866 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343924",
            "country_code": "US",
            "telephone_number": "303-360-6276",
            "fax_number": "303-205-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREXELIUS",
        "first_name": "LETITIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990558-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETITIA",
            "last_name": "RHODES",
            "middle_name": "ANN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.