NICOLE KRISTEN HUNTRESS M.D. - NPI 1710147848

Q: What is Nicole Huntress's NPI number?

The NPI number for Nicole Huntress is 1710147848. It was assigned to this individual provider in the NPPES registry on June 12, 2008. The provider is also known as Nicole Kristen Gradisek.

Q: What is Nicole Huntress's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Huntress was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

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About Nicole Kristen Huntress M.d. NPPES

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

NICOLE KRISTEN HUNTRESS M.D. (NPI 1710147848) is an individual sports medicine provider in Aurora, Colorado, licensed in Colorado (DR.0051828) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710147848

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameNICOLE KRISTEN HUNTRESSCredential: M.D.

Location Address6069 S SOUTHLANDS PKWYAurora, CO 80016

Mailing AddressPo Box 911244Denver, CO 80291-1244 · (888) 269-7001 · Fax (303) 764-6640

Phone(303) 928-7555

Fax(303) 928-7560

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 12, 2008

Last NPPES UpdateAugust 6, 2018

✔ NPI 1710147848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in CO · DR.0051828

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedPediatricsTaxonomy 208000000X · License LL30973 (SC)

6069 S SOUTHLANDS PKWY, Aurora, CO 80016

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Other Names 1

Former Name (1)Nicole Kristen Gradisek

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Kristen Huntress M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971887209

PECOS Enrollment IDI20170303001288

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 15

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

JEREMY ORR MD

Family Medicine