Kenneth Shane Hyman

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0995047-NP Issued in CO

Practice address

10272 Hidden Park Way
Peyton, CO 80831-8353

Phone

(903) 276-2528

NPI assigned

Sep 10, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Housecalls LLCGroup PAC ID 0840212809, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Colorado Springs, CO, CCN 067449
• Bloom Hospice Hospice, Lakewood, CO, CCN 061618

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

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.

• Physician Housecalls LLC

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1295789824
  Medicare reassignment Care Compare group NPD

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

• Bloom Hospice LLC

  dba Bloom Hospice

  • Community Based Hospice Care Agency
  • Lakewood, CO
  • NPI 1093470684
  Care Compare affiliation
• Eh Home Health of Colorado LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1346481710
  Care Compare affiliation

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1942859152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10272 HIDDEN PARK WAY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318353",
            "telephone_number": "903-276-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10272 HIDDEN PARK WAY",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318353",
            "telephone_number": "903-276-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "KENNETH",
        "middle_name": "SHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995047-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Leigh Hoefing, CNMT, NTP
• Alexandrea Jade Hopkins
• Melissa Linda Hubbard, PHARMD
• Amanda J Huckstep, MPT
• Scott Gordon Hunter, PHARMD
• Inner Healing Counseling LLC
• Kelsie Lynn Ives, MBA, MS, RD
• Leandra Jackson, RMT
• Nancy A James, PT
• Joesph's Expertise, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.