Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063840171 Individual Practitioner Female Practitioner

Kellie Ann Douglas , CPNP-PC

Nurse Practitioner - Pediatrics • Denver, CO

Professional Overview & Biography Verified Profile Summary

Kellie Douglas, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Denver, CO. Practice services are available at 4545 E 9TH AVE STE 260 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4545 E 9th Ave Ste 260

Denver, CO 80220

Telephone 3033207366
Associated Practice Facility / Clinic
🏢 Onpoint Medical Group Facility NPI 1699360313

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Denver, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
71 Specialists

Practicing in Denver, CO (544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-22
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NC 5007234

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nurse Practitioner - Apn License
993170 (CO)

Secondary Practice Locations

9137 Ridgeline Blvd Ste 130

Highlands Ranch, CO 801292394

Phone: 3034710221

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1285991273

Doctor of Osteopathic Medicine (D.O.)

NPI 1578589800

Doctor of Medicine (M.D.)

Bianca Mcclammy , CPNP

Nurse Practitioner - Pediatrics

NPI 1730453549

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 23, 2018

Registered at 4545 E 9TH AVE STE 260, DENVER, CO 80220 (Tel: (303) 320-7366)

📍
Updated Business Mailing Address June 23, 2018

Registered at 1805 SHEA CENTER DR STE 301, HIGHLANDS RANCH, CO 801292251 (Tel: 3033572559)

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2017

Registered at 4545 E 9TH AVE STE 260, DENVER, CO 802203919 (Tel: (303) 320-7366)

📍
Updated Business Mailing Address August 07, 2017

Registered at 4545 E 9TH AVE STE 260, DENVER, CO 802203919 (Tel: (303) 320-7366)

👤
Provider Name / Credentials Updated August 07, 2017

Recorded as KELLIE DOUGLAS, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Nurse Practitioner (License #5007234 in NC)

NPI Profile Active June 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2015

Registered at 1040 VINEHAVEN DR NE, CONCORD, NC 280252438 (Tel: 7047841010)

📍
Updated Business Mailing Address June 18, 2015

Registered at 1040 VINEHAVEN DR NE, CONCORD, NC 280252438 (Tel: 7047841010)

👤
Provider Name / Credentials Updated June 18, 2015

Recorded as KELLIE DOUGLAS, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2015

Nurse Practitioner (License #5007234 in NC)

🟢
Initial NPI Registration & Enumeration October 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063840171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2013
Last Update: July 22, 2022
Sole Proprietor: No

Mailing Address

1805 Shea Center Dr Ste 301

Highlands Ranch, CO 801292251

Phone: 3033207366

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.