Individual provider Active NPI

Kristen Hertzler

  • Emergency Medicine Physician
  • Englewood, CO
National Provider Identifier
1972946416
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0058085 Issued in CO
Practice address
7887 E Belleview Ave Ste 1100
Englewood, CO 80111-6097
Phone
(303) 895-6371
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X DR.0058085 CO Primary

Addresses

Primary practice location

7887 E Belleview Ave Ste 1100
Englewood, CO 80111-6097

Mailing address

7887 E. Belleview Ave
Suite 1100
Denver, CO 80111

Other practice location 1

1 Boston Medical Ctr Pl
Dowling 1 South
Boston, MA 02118-2908
Phone (617) 414-4929

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721000537 CO Practitioner - Emergency Medicine 7416189121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brighton Community Emergency Physicians, LpaGroup PAC ID 0244405488, 13 clinicians

Practice addresses (Care Compare)

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1999

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0058085COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Community Emergency Physicians Lpa Single Specialty CurrentSince Aug 15, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Boston Emergency Physician Foundation, Inc. Single Specialty Past Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

Organizations & group practices 5

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 1

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972946416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 E. BELLEVIEW AVE",
            "address_2": "SUITE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE STE 1100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116097",
            "telephone_number": "303-895-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_2": "Dowling 1 South",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-4929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0058085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.