Leah Derksen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

990102 Issued in CO

Practice address

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909-1163

Phone

(719) 634-8891

Fax

(719) 634-1897

NPI assigned

Jul 25, 2011

Last updated

Jul 27, 2022By 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 1

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the University of ColoradoGroup PAC ID 7012810716, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Regents of the University of Colorado

  dba UCCS HealthCircle

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1801226048
  Medicare reassignment Care Compare group NPD
• Regents of the University of Colorado

  dba Veterans Health and Trauma Clinic

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1861156879
  NPD
• The Regents of the University of Colorado

  dba CU Youth Health Clinic at Urban Peak

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1982425674
  NPD
• Regents of the University of Colorado

  dba University of Colorado Denver College of Nursing

  • Nurse Practitioner
  • Aurora, CO
  • NPI 1174929939
  NPD (past)

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1922386010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 N CIRCLE DR",
            "address_2": "STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091163",
            "telephone_number": "719-634-8891",
            "fax_number": "719-634-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 N CIRCLE DR",
            "address_2": "STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091163",
            "telephone_number": "719-634-8891",
            "fax_number": "719-634-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKSEN",
        "first_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "990102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78270766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Ruth Deptula, PT, DPT
• Claudia Yovana Deras Flores
• Jeanne Ruth Derber, O.D.
• Kelly Dering, DNP, FNP-C, WHNP
• Jon Eric Derksen, M.D.
• Dermatology Clinic, P.C.
• Susan Gabrielle Dern, DO
• Jay F Derosa, MA, LPC
• Jenna Derosier, RBT
• Doreen Ann Deross, MS, LPC, CACIII

• Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.