NPIMap

Individual provider Active NPI

Kimberly Paine, NP-C

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1922400225
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0991329-NP Issued in CO
Practice address
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone
(720) 455-0655
Fax
(720) 455-0065
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 0991329-NP CO Primary

Addresses

Primary practice location

2350 Meadows Blvd
Castle Rock, CO 80109-8405

Mailing address

PO Box 173891
Denver, CO 80217-3891
Phone (303) 306-7783

Other practice location 1

2875 International Cir
Colorado Springs, CO 80910-3144
Phone (709) 389-0070

Other practice location 2

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-6820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001091 CO Practitioner - Nurse Practitioner 2860797248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0991329-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 24, 2022 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Jul 1, 2019 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Jul 1, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 24, 2022 Accepting new patients
True North Health Navigation LLC CurrentSince May 1, 2016 Accepting new patients
Portercare Adventist Health System Current Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

Interoperability endpoints

  • Direct secure messaging: kpaine1859225@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1922400225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173891",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173891",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 MEADOWS BLVD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098405",
            "telephone_number": "720-455-0655",
            "fax_number": "720-455-0065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 International Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103144",
            "country_code": "US",
            "telephone_number": "709-389-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-6820",
            "fax_number": "719-365-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINE",
        "first_name": "KIMBERLY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991329-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.