Victoria Kretche-Kitchel, DNP, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Blanca, CO
NPI 1992317895 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1992317895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- ANP.1000439-NP (CO)
- Practice address
- 14296 LL 11TH
Blanca, CO 81123 - Phone
- (719) 469-2076
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Arizona College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Hospital Association of the San Luis Valley
Practice addresses (Care Compare)
106 Blanca Ave
Alamosa, CO 81101-2340
Phone (719) 589-2511
Hospital & facility affiliations
- San Luis Valley Regional Medical Center
- San Luis Valley Health Conejos County Hospital
- Rio Grande Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250207001870 | CO | Practitioner - Nurse Practitioner | 6305878471 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP.1000439-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital Association of the San Luis Valley | Current |
Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current |
Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Locations
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ANP.1000439-NP | CO | Yes |
Addresses
Primary practice location
14296 LL 11TH
Blanca, CO 81123
Mailing address
Pob 247
14296 LL 11TH
Blanca, CO 81123
Phone (719) 469-2076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN.1000439-NP | Other | CO | COLORADO STATE BOARD OF NURSING |
| RXN.0109482-NP | Other | CO | COLORADO STATE BOARD OF NURSING |
| 111727 | Other | CO | COLORADO STATE BOARD OF NURSING |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | vlkretche@email.arizona.edu | University of Arizona RISE |
Other providers in Blanca, CO
All providers in Blanca, CO · Acute Care Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.