Individual provider Active NPI

Spencer Woolen, AGPC-NP

  • Gerontology Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1962014894
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0995800-NP Issued in CO
Practice address
13111 E Briarwood Ave Ste 300
Centennial, CO 80112-3913
Phone
(303) 671-0553
Fax
(303) 671-0332
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0995800-NP CO Primary

Addresses

Primary practice location

13111 E Briarwood Ave Ste 300
Centennial, CO 80112-3913

Mailing address

3333 S Wadsworth Blvd Unit D100
Lakewood, CO 80227-5117
Phone (720) 544-2064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200918000951 CO Practitioner - Nurse Practitioner 4284052572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250

Hospital & facility affiliations

  • Optimal Home Care Loveland Home health agency, Loveland, CO, CCN 067546
  • Enhabit Home Health Home health agency, Greenwood Village, CO, CCN 067224
  • Bayada Home Health Care Inc Home health agency, Broomfield 80020, CO, CCN 067551
  • Denver Hospice the Hospice, Denver, CO, CCN 061504
  • Bloom Hospice Hospice, Lakewood, CO, CCN 061618
  • Trail Winds Hospice Hospice, Boulder, CO, CCN 061602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995800-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Housecalls LLC CurrentSince Aug 1, 2022 Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

13111 E Briarwood Ave
Ste 300
Centennial, CO 80112
Phone (303) 671-5533

3333 S Wadsworth Blvd
Unit D100
Lakewood, CO 80227

12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371

Interoperability endpoints

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

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1962014894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD UNIT D100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275117",
            "telephone_number": "720-544-2064",
            "fax_number": "303-347-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123913",
            "telephone_number": "303-671-0553",
            "fax_number": "303-671-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLEN",
        "first_name": "SPENCER",
        "credential": "AGPC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0995800-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.