Individual provider Active NPI

Misae Ueha Vela Brol, NP

  • Family Nurse Practitioner
  • Westminster, CO
National Provider Identifier
1972592657
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0004786-NP Issued in CO
Practice address
8300 Alcott St Ste 300
Westminster, CO 80031-4030
Phone
(720) 443-8461
NPI assigned
Oct 17, 2005
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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 APN.0004786-NP CO Primary

Addresses

Primary practice location

8300 Alcott St Ste 300
Westminster, CO 80031-4030

Mailing address

8300 Alcott St Ste 300
Westminster, CO 80031-4030
Phone (720) 443-8461

Other identifiers 1

IdentifierTypeStateIssuer
70588074MedicaidCO

Other names 1

  • Misae Ueha Former name

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
I20051220000347 CO Practitioner - Nurse Practitioner 2860414752 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Jun 21, 2011 Accepting new patients
Clinica Campesina Family Health Services PastSince Dec 1, 2020 Accepting new patients

Locations

1701 W 72nd Ave
Denver, CO 80221

1701 W 72nd Ave
Fl 3
Denver, CO 80221

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

Interoperability endpoints

  • Direct secure messaging: misae.vela-brol.1@24370.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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1972592657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314030",
            "telephone_number": "720-443-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314030",
            "telephone_number": "720-443-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELA BROL",
        "first_name": "MISAE",
        "middle_name": "UEHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0004786-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70588074",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISAE",
            "last_name": "UEHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.