Katelyn Dakota Jae Mcintosh, FNP-C - Medicare Nurse Practitioner in Colorado Springs, CO

Katelyn Dakota Jae Mcintosh, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Colorado Springs, Colorado. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is 13445 Voyager Pkwy, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 365-3220.

Katelyn Dakota Jae Mcintosh is licensed to practice in Indiana (license number 71009146A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497316657.

Contact Information

Katelyn Dakota Jae Mcintosh, FNP-C
13445 Voyager Pkwy,
Colorado Springs, CO 80921-7648
(719) 365-3220
(719) 365-7680

Map and Direction




Provider's Profile

Full NameKatelyn Dakota Jae Mcintosh
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location13445 Voyager Pkwy, Colorado Springs, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn Dakota Jae Mcintosh graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1497316657
  • Provider Enumeration Date: 06/27/2019
  • Last Update Date: 01/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153658778
  • Enrollment ID: I20221012000240

Medical Identifiers

Medical identifiers for Katelyn Dakota Jae Mcintosh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497316657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28216991A (Indiana)Secondary
363L00000XNurse Practitioner 71009146A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71009146A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uch-memorial Health SystemColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Dakota Jae Mcintosh allows following entities to bill medicare on her behalf.
Entity NameAlliance Family Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326253436
PECOS PAC ID: 1759482292
Enrollment ID: O20070727000151
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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. Katelyn Dakota Jae Mcintosh 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 AddressPractice Location Address
Katelyn Dakota Jae Mcintosh, FNP-C
2695 Rocky Mountain Ave Ste 150,
Loveland, CO 80538-9071

Ph: (970) 624-2420
Katelyn Dakota Jae Mcintosh, FNP-C
13445 Voyager Pkwy,
Colorado Springs, CO 80921-7648

Ph: (719) 365-3220

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.