Individual provider Active NPI

Kelly Anne Spring, PA-C

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1932548898
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0038 Issued in NM
Practice address
4641 W 109TH PL
Westminster, CO 80031-2016
Phone
(720) 934-0745
NPI assigned
Jun 24, 2013
Last updated
Jun 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2013-0038 NM Primary

Addresses

Primary practice location

4641 W 109TH PL
Westminster, CO 80031-2016

Mailing address

4641 W 109TH PL
Westminster, CO 80031-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20130905000820 NM Practitioner - Physician Assistant 8224271507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Medical Centers of NM IncGroup PAC ID 5092075531, 54 clinicians

Practice addresses (Care Compare)

1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180

7200 Montgomery Blvd NE
Suite 7121
Albuquerque, NM 87109-1510
Phone (505) 281-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Medical Centers of NM, Inc. CurrentSince Oct 1, 2021 Accepting new patients

Locations

11601 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 207-3421

3121 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 228-2108

4410 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 768-6123

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

1851 Old US 66
Edgewood, NM 87015
Phone (505) 281-8463

1202 Main St NE
Los Lunas, NM 87031
Phone (505) 539-1172

Interoperability endpoints

  • Direct secure messaging: kelly.spring.1@27050.direct.athenahealth.com

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, 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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1932548898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 W 109TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 W 109TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312016",
            "telephone_number": "720-934-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRING",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.