NPIMap

Individual provider Active NPI

Kelly Noonan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Collins, CO
National Provider Identifier
1922459973
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000925 Issued in CO
Practice address
2001 S Shields St Ste F
Fort Collins, CO 80526-1833
Phone
(970) 343-4217
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 169 WY
Foot & Ankle Surgery Podiatrist 213ES0103X 2490 MA
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000925 CO Primary

Addresses

Primary practice location

2001 S Shields St Ste F
Fort Collins, CO 80526-1833

Mailing address

2001 S Shields St Ste F
Fort Collins, CO 80526-1833
Phone (970) 343-4217

Other practice location 1

451 Andover St Ste 209
North Andover, MA 01845
Phone (978) 686-7623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230511001266 CO Practitioner - Podiatry 6002148434 Reassigns benefits to 1 organization
I20230512001005 WY Practitioner - Podiatry 6002148434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Step Ahead Foot and Ankle Center LLCGroup PAC ID 2961394895, shared by 2 NPIs, 6 clinicians

Practice addresses (Care Compare)

1202 Cleveland Ave
Cheyenne, WY 82001-6700
Phone (307) 632-1657

2001 S Shields St
Suite F
Fort Collins, CO 80526-1833
Phone (970) 493-4660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of skin lesions28
Removal of nail tissue648
Removal or shaving of skin growth264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
169WYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Foot and Ankle Center LLC Foot & Ankle Surgery CurrentSince Apr 1, 2023 Accepting new patients
A Step Ahead Foot and Ankle Center LLC Foot & Ankle Surgery CurrentSince May 1, 2023 Accepting new patients
A Step Ahead Foot and Ankle Center LLC Foot & Ankle Surgery Past Accepting new patients

Locations

2001 S Shields St
Ste F
Fort Collins, CO 80526
Phone (970) 232-1717

3880 Grant Ave
Ste 140
Loveland, CO 80538
Phone (970) 203-0047

1202 Cleveland Ave
Cheyenne, WY 82001
Phone (307) 632-1657

Organizations & group practices 3

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1922459973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261833",
            "telephone_number": "970-343-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE F",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261833",
            "telephone_number": "970-343-4217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St Ste 209",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "01845",
            "country_code": "US",
            "telephone_number": "978-686-7623",
            "fax_number": "978-683-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "KELLY",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WY",
            "license": "169",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2490",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.