NPIMap

Individual provider Active NPI

Kaycee Ann Simon, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Collins, CO
National Provider Identifier
1982713996
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRA-100038 Issued in CO
Practice address
1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Phone
(970) 224-2985
Fax
(970) 472-9381
NPI assigned
Aug 30, 2006
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1387179021 KS
Certified Registered Nurse Anesthetist 367500000X CRA-100038 CO Primary

Addresses

Primary practice location

1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000

Mailing address

1236 E Elizabeth St
Suite 1
Fort Collins, CO 80524-4000
Phone (970) 224-2985

Other practice location 1

1755 48th St Ste 100
Boulder, CO 80301-2712
Phone (303) 604-5000

Other practice location 2

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479

Other identifiers 3

IdentifierTypeStateIssuer
P01080541OtherCOMEDICARE RAILROAD
0000145132OtherKSBLUE CROSS OF KS
00432776MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111004000445 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022056696 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Anesthesia Professionals PLLCGroup PAC ID 6800878760, 155 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Ncap PLLC
Fort Collins, CO 80524-3929
Phone (970) 495-7000

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-4479

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1387179021KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis LTD Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2015 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Jun 11, 2018 Accepting new patients
Premier Anesthesia of Colorado, Inc CurrentSince Apr 29, 2019 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Jun 11, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Monarch Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2020 Accepting new patients
Centers for Gastroenterology CurrentSince Jan 1, 2022 Accepting new patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince May 30, 2012 Accepting new patients
Boulder Valley Gastroenterology Inc. Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 1, 2025 Accepting new patients
Anesthesia Services Medical Group of Topeka, PA Past Accepting new patients
Colorado Personnel Resources Inc Past Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1000 E Harvard Ave
Denver, CO 80210
Phone (303) 765-3595

5060 S Syracuse St
Denver, CO 80237
Phone (303) 770-1056

1236 E Elizabeth St
Ste 1
Fort Collins, CO 80524
Phone (970) 236-2628

2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

8227 W 20th St
Greeley, CO 80634
Phone (970) 420-8863

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

382 S Arthur Ave
Louisville, CO 80027

382 S Arthur Ave
Unit 100
Louisville, CO 80027

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1982713996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-224-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-224-2985",
            "fax_number": "970-472-9381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 48th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803012712",
            "country_code": "US",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Orchard Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800239206",
            "country_code": "US",
            "telephone_number": "720-627-4479",
            "fax_number": "720-627-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KAYCEE",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "1387179021",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "CRA-100038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01080541",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KS",
            "identifier": "0000145132",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00432776",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.