KELLY OLDHAM NP
NPI 1033665484
Nurse Practitioner - Family in Denver, CO

Q: What is Kelly Oldham's NPI number?

The NPI number for Kelly Oldham is 1033665484. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Q: What is Kelly Oldham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Oldham was last updated on March 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 26, 2016PECOS Enrolled

2130 STOUT ST, DENVER, CO 80205(303) 293-2220 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2019, Sep 20, 2016, Aug 26, 2016 (3 updates tracked since 2016).

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About Kelly Oldham Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY OLDHAM NP (NPI 1033665484) is an individual family provider in Denver, Colorado, licensed in Colorado (APN.0992402-NP) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Denver (2015).

NPPES Registry Identity

NPI1033665484

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY OLDHAMCredential: NP

Location Address2130 STOUT STDenver, CO 80205-2827

Mailing Address2111 Champa StDenver, CO 80205-2529 · (303) 293-2220

Phone(303) 293-2220

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2015

Enumeration DateAugust 26, 2016

Last NPPES UpdateMarch 11, 20193 updates tracked since enumeration

✔ NPI 1033665484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.0992402-NP

2130 STOUT ST, Denver, CO 80205

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Secondary Practice Location 1

Location 12810 Quebec StDenver, CO 80207-2900 · Phone (303) 370-5870

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Oldham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072893825

PECOS Enrollment IDI20161213001557

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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