KELLY MOHR
NPI 1053013714
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Kelly Mohr's NPI number?

The NPI number for Kelly Mohr is 1053013714. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Kelly Mohr's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mohr was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

1400 S POTOMAC ST STE 250, AURORA, CO 80012(303) 531-4910 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Mar 20, 2023 (2 updates tracked since 2023).

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About Kelly Mohr NPPES

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

KELLY MOHR (NPI 1053013714) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lone Tree, and is a graduate of Rocky Vista University College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1053013714

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKELLY MOHR

Location Address1400 S POTOMAC ST STE 250Aurora, CO 80012-4541

Mailing Address1400 S Potomac St Ste 250Aurora, CO 80012-4541 · (303) 531-4910

Phone(303) 531-4910

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1053013714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0074127 (CO)

1400 S POTOMAC ST STE 250, Aurora, CO 80012

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Secondary Practice Location 1

Location 110375 Park Meadows Dr Ste 100Lone Tree, CO 80124-6736 · Phone (303) 225-0025 · Fax (303) 225-0029

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

PECOS PAC ID1456719913

PECOS Enrollment IDI20260513003613

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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVAN MCCABE DO

Student in an Organized Health Care Education/Training Program