SECOND STAR LLC
NPI 1669337721
Nurse Practitioner - Psychiatric/Mental Health in Denver, CO

Active since December 22, 2025
215 S HOOKER ST, DENVER, CO 80219(720) 635-5787 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Second Star Llc NPPES

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

SECOND STAR LLC (NPI 1669337721) is a healthcare organization registered as a psychiatric/mental health in Denver, Colorado and active in the NPI registry since December 2025. The organization lists John J Spear, Owner, as its authorized official.

NPPES Registry Identity

NPI1669337721
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSECOND STAR LLC
Location Address215 S HOOKER STDenver, CO 80219-2031
Mailing Address215 S Hooker StDenver, CO 80219-2031 · (720) 635-5787
Organization SubpartNo
Authorized OfficialJohn J SpearOwner · (720) 635-5787
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 21, 2025
✔ NPI 1669337721 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
215 S HOOKER ST, Denver, CO 80219

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Second Star LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861226052
2560 SHERIDAN BLVD STE 2
Denver, CO 80214
(720) 588-3383
✔ PECOS✔ Accepts Medicare2.7 mi

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

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 Second Star LLC's NPI number?

The NPI number for Second Star LLC is 1669337721. It was assigned to this organization in the NPPES registry on December 22, 2025.

Where is Second Star LLC located?

Second Star LLC is located at 215 S Hooker St, Denver, CO 80219. The listed phone number is (720) 635-5787.

What is Second Star LLC's specialty?

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

Is Second Star LLC enrolled in Medicare?

Yes. Second Star LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Second Star LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Second Star LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Second Star LLC was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.