Vital Rd Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Centennial, Colorado. Their current practice location is
7564 S Xenia Ct, Centennial, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 562-4500.
Vital Rd Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Vital Rd Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1326620758.
Healthcare Provider's Profile
| Full Name | Vital Rd Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 7564 S Xenia Ct, Centennial, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326620758
- Provider Enumeration Date: 04/26/2021
- Last Update Date: 10/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416343926
- Enrollment ID: O20221014001818
Medical Identifiers
Medical identifiers for Vital Rd Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326620758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Vital Rd Llc acts as a billing entity for following providers:
| Provider Name | Jessica Crandall |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1760447650
PECOS PAC ID: 2466460951
Enrollment ID: I20060324000228 |
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| Provider Name | Cassie L Serpan |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1164166112
PECOS PAC ID: 5395288328
Enrollment ID: I20240619000849 |
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| Provider Name | Meghan Eoff |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1912778366
PECOS PAC ID: 1951842749
Enrollment ID: I20250612002933 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vital Rd Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Vital Rd Llc
7564 S Xenia Ct,
Centennial, CO 80112-2730
Ph: (303) 562-4500 | Vital Rd Llc
7564 S Xenia Ct,
Centennial, CO 80112-2730
Ph: (303) 562-4500 |
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