Diana Helen Antenucci, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Aurora, CO
NPI 1902583016 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1902583016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APN.0999266-NP (CO)
- Practice address
- 1665 Aurora CT
Aurora, CO 80045-2517 - Phone
- (720) 848-0000
- NPI assigned
- Jun 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 34
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rocky Mountain Cancer Centers LLP
Practice addresses (Care Compare)
4715 Arapahoe Ave
Boulder, CO 80303-1385
Phone (303) 385-2000
Hospital & facility affiliations
- Boulder Community Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219004203 | CO | Practitioner - Nurse Practitioner | 5193175982 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025600 | CA | MD | Acute Care Nurse Practitioner |
| APN.0999266-NP | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Incorporated | Nurse Practitioner | Current | Accepting new patients |
| Rocky Mountain Cancer Centers, LLP | Hematology & Oncology | Current |
Accepting new patients |
| University Physicians, Incorporated | Current |
Accepting new patients | |
| University Physicians, Incorporated | Current |
Accepting new patients | |
| Rocky Mountain Cancer Centers LLP | Hematology & Oncology | Current |
Accepting new patients |
| Rocky Mountain Cancer Centers LLP | Hematology & Oncology | Past | Accepting new patients |
Locations
1665 Aurora Ct
Aurora, CO 80045
Phone (303) 724-2066
1665 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (303) 493-7245
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000
Dept 1061
Denver, CO 80256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95025600 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0999266-NP | CO | Yes |
Addresses
Primary practice location
1665 Aurora CT
Aurora, CO 80045-2517
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1133 9th St Unit 201
Santa Monica, CA 90403-5253
Phone (203) 814-8490
Other providers in Aurora, CO
- Elaine Ekberg Anson
- Linda Susan Anson
- Yaw Ansong-Ansongton
- Tyler Jerome Anstett
- Cheryl Betelina Antal
- Anthem Aurora Management LLC
- Bruno J Anthony
- Mikaela Anthony
- Rachel N. Anthony
- Sumy Anthony
All providers in Aurora, CO · Adult Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.