Individual provider Active NPI

Christine Ann Stauffer, FNP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1902995574
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
98260 Issued in CO
Practice address
2479 S Clermont St
Denver, CO 80222-6588
Phone
(973) 661-8300
Fax
(973) 661-8333
NPI assigned
Oct 12, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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 98260 CO Primary

Addresses

Primary practice location

2479 S Clermont St
Denver, CO 80222-6588

Mailing address

400 Broadacres Dr Ste 445
Bloomfield, NJ 07003-3156
Phone (303) 725-0111

Other practice location 1

2800 Youngfield St
Lakewood, CO 80215-7210
Phone (973) 661-8300

Other identifiers 1

IdentifierTypeStateIssuer
98620OtherCASTATE LICENSE

Other names 1

  • Christine Ann Macgillis 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
I20070312000366 CO Practitioner - Nurse Practitioner 0941303903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Front Range, Inc.Group PAC ID 6800799537, 20 clinicians

Practice addresses (Care Compare)

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98260COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince May 20, 2024 Accepting new patients
Intermountain Front Range, Inc. CurrentSince May 20, 2024 Accepting new patients
Health Stop LLC Past Accepting new patients

Locations

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1902995574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR STE 445",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "303-725-0111",
            "fax_number": "973-661-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 S CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226588",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Youngfield St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802157210",
            "country_code": "US",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "98260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "98620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MACGILLIS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.