KENNETH LAURO SUBALA
NPI 1154241701
Nurse Practitioner - Psychiatric/Mental Health in Westminster, CO

Active since July 15, 2026PECOS Enrolled
12041 TEJON ST, WESTMINSTER, CO 80234(303) 993-7356 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kenneth Lauro Subala NPPES

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

KENNETH LAURO SUBALA (NPI 1154241701) is an individual psychiatric/mental health provider in Westminster, Colorado, licensed in Colorado (APN.1002184-NP) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1154241701
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENNETH LAURO SUBALA
Location Address12041 TEJON STWestminster, CO 80234-2314
Mailing Address804 Nucla StAurora, CO 80011-4341 · (720) 244-0235
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1154241701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.1002184-NP
12041 TEJON ST, Westminster, CO 80234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5294293809
PECOS Enrollment IDI20260813004988
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Subala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
6897 PAIUTE AVE STE 5
Niwot, CO 80503
  • Reassigned Medicare billing, Colorado enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80234 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
12041 TEJON ST
WESTMINSTER, CO 80234
Nurse Practitioner (Psychiatric/Mental Health)
12041 TEJON ST
WESTMINSTER, CO 80234
Counselor (Professional)
12041 TEJON ST
WESTMINSTER, CO 80234
Nurse Practitioner (Psychiatric/Mental Health)
12041 TEJON ST
WESTMINSTER, CO 80234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Subala's NPI number?

The NPI number for Kenneth Subala is 1154241701. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Kenneth Subala located?

Kenneth Subala practices at 12041 Tejon St, Westminster, CO 80234. The listed phone number is (303) 993-7356.

What is Kenneth Subala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kenneth Subala enrolled in Medicare?

Yes. Kenneth Subala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Subala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Subala reassigns Medicare benefits to Amavi Integrative Mental Wellness LLC (Niwot, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Subala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Subala was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.