Individual provider Active NPI

Maureen Daigler-Kluge, NP

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1992115596
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0999350 Issued in CO
Practice address
4384 S Federal Blvd Ste 1
Englewood, CO 80110-5311
Phone
(720) 853-4230
Fax
(585) 723-6705
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 0999350 CO Primary

Addresses

Primary practice location

4384 S Federal Blvd Ste 1
Englewood, CO 80110-5311

Mailing address

4384 S Federal Blvd Ste 1
Englewood, CO 80110-5311
Phone (720) 853-4230

Other identifiers 1

IdentifierTypeStateIssuer
90000225978MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140618001594 NY Practitioner - Nurse Practitioner 5496979213 Reassigns benefits to 1 organization
I20210917001633 FL Practitioner - Nurse Practitioner 5496979213 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0999350COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jun 12, 2014 Accepting new patients
Community Medical Services Montana Private LLC CurrentSince Jan 15, 2024 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Practitioners in Motion PLLC CurrentSince Sep 1, 2022 Accepting new patients
Baba Healthcare PastSince Sep 4, 2021 Accepting new patients

Locations

4384 S Federal Blvd
Ste 1
Englewood, CO 80110
Phone (720) 853-4230

1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

105 Canal Landing Blvd
Ste 1
Rochester, NY 14626
Phone (585) 368-4050

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

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.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1992115596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 S FEDERAL BLVD STE 1",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801105311",
            "telephone_number": "720-853-4230",
            "fax_number": "585-723-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 S FEDERAL BLVD STE 1",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801105311",
            "telephone_number": "720-853-4230",
            "fax_number": "585-723-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLER-KLUGE",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0999350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000225978",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.