| Mile High Psychiatry Llc | |
|
14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 | |
| (720) 507-4779 | |
| (720) 367-5067 |
| Full Name | Mile High Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 14221 E 4th Ave Ste 2-126, Aurora, Colorado |
| Authorized Official Name and Position | Michael K Chism (OWNER) |
| Authorized Official Contact | 7205074779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile High Psychiatry Llc 15355 E Colfax Ave Unit 111717 Aurora CO 80042-1975 Ph: () - | Mile High Psychiatry Llc 14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 Ph: (720) 507-4779 |
| NPI Number | 1760928766 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Medicare PECOS PAC ID | 9032459656 |
|---|---|
| Medicare Enrollment ID | O20190319000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760928766 | NPI | - | NPPES |
| Provider Name | Charles A Shuman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831170182 PECOS PAC ID: 3274507025 Enrollment ID: I20090923000051 |
| Provider Name | Donna M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740536176 PECOS PAC ID: 5890942460 Enrollment ID: I20120904000749 |
| Provider Name | Michael Chism |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154780757 PECOS PAC ID: 0941540561 Enrollment ID: I20190403001734 |
| Provider Name | Chidinma Enwere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659794535 PECOS PAC ID: 8921238320 Enrollment ID: I20210323000649 |
| Provider Name | Colene E Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417900507 PECOS PAC ID: 3678598257 Enrollment ID: I20210803000024 |
| Provider Name | Pinkie Fitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256217 PECOS PAC ID: 1456641273 Enrollment ID: I20220311000156 |
| Provider Name | Jayson Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134880859 PECOS PAC ID: 8729473541 Enrollment ID: I20220315000046 |
| Provider Name | Michele Groetzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255770970 PECOS PAC ID: 6709029697 Enrollment ID: I20220615003203 |
| Provider Name | Olaf Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073178703 PECOS PAC ID: 2860729506 Enrollment ID: I20220915001195 |
| Provider Name | Kwang Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093329021 PECOS PAC ID: 1557781135 Enrollment ID: I20221109003181 |
| Provider Name | Prescott Martin Westly Coe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376274209 PECOS PAC ID: 0840663399 Enrollment ID: I20230302002183 |
| Provider Name | Sidoine Michele Magakou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841117 PECOS PAC ID: 6002284767 Enrollment ID: I20230731002365 |
| Provider Name | Brittany Rideaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245799592 PECOS PAC ID: 0042673873 Enrollment ID: I20230828001457 |
| Provider Name | Amy L Card |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497488654 PECOS PAC ID: 6305227018 Enrollment ID: I20230905000680 |
| Provider Name | Lisa Demay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033829361 PECOS PAC ID: 7810341443 Enrollment ID: I20230929001583 |
| Provider Name | Natasha Issa Deebes-howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639881261 PECOS PAC ID: 0143663351 Enrollment ID: I20240408001291 |
| Provider Name | Catherine Onyeari Nwora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861022402 PECOS PAC ID: 5496163529 Enrollment ID: I20240411000664 |
| Provider Name | Joycy Puthenpurackal Pranabdev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194429829 PECOS PAC ID: 0446607873 Enrollment ID: I20240502001280 |
| Provider Name | Angela Karmen Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972369262 PECOS PAC ID: 4183064215 Enrollment ID: I20240506003704 |
| Provider Name | Amanda Jayaraman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568964997 PECOS PAC ID: 2365705969 Enrollment ID: I20240510000019 |
| Provider Name | Manuel Molina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023462769 PECOS PAC ID: 6608318225 Enrollment ID: I20240610003859 |
| Provider Name | Monica Estupinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457034217 PECOS PAC ID: 7315391133 Enrollment ID: I20240611003267 |
| Provider Name | Travis Anselmo Deangelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598506990 PECOS PAC ID: 0345787644 Enrollment ID: I20240805002322 |
| Provider Name | Alexis Antoinette King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629713060 PECOS PAC ID: 4183150733 Enrollment ID: I20241206000869 |
| Provider Name | Blake Everett Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871361477 PECOS PAC ID: 9436688710 Enrollment ID: I20250131000877 |
| Provider Name | Kali Ann Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144909060 PECOS PAC ID: 8224488010 Enrollment ID: I20250211001169 |
| Provider Name | Denise Daly-stennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437347762 PECOS PAC ID: 9032293964 Enrollment ID: I20250217001431 |
| Provider Name | Rosemond Harleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023822749 PECOS PAC ID: 4587185939 Enrollment ID: I20250303000674 |
| Provider Name | Tracie Denie Johnson-wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578064382 PECOS PAC ID: 2769745280 Enrollment ID: I20250304001808 |
| Provider Name | Kristin Marie Pazdernik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164258703 PECOS PAC ID: 8729501812 Enrollment ID: I20250330000063 |
| Provider Name | Debra Jo Hain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932139482 PECOS PAC ID: 5193989390 Enrollment ID: I20250417001926 |
| Provider Name | Marlyse Joy Rappoport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952122376 PECOS PAC ID: 6507382306 Enrollment ID: I20250424002043 |
| Provider Name | Kristina Jedidja Noziere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881415230 PECOS PAC ID: 0749706273 Enrollment ID: I20250428004319 |
| Provider Name | Elizabeth Nicholson Selander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881490720 PECOS PAC ID: 3173049277 Enrollment ID: I20250501002526 |
| Provider Name | Raquel Hill Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457104564 PECOS PAC ID: 7416475538 Enrollment ID: I20250513001486 |
| Provider Name | Katerina Casas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922894138 PECOS PAC ID: 8820517022 Enrollment ID: I20250521001097 |
| Provider Name | Jessica Linn Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619745940 PECOS PAC ID: 3779002837 Enrollment ID: I20250522000448 |
| Provider Name | Mikiyas Berhane Hailemichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841040532 PECOS PAC ID: 8729429220 Enrollment ID: I20250603002533 |
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