NICOLE KRISTEN HUNTRESS M.D.
NPI 1710147848
Pediatrics - Sports Medicine in Aurora, CO

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
6069 S SOUTHLANDS PKWY, AURORA, CO 80016(303) 928-7555(303) 928-7560 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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
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

Other Names 1

Former Name (1)Nicole Kristen Gradisek

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Clinic/Center
1212 S BROADWAY, SUITE 150
Denver, CO 80210
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: American Current Care PA
  • 56 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.

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.

Family Medicine
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Obstetrics & Gynecology
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Pediatrics
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Social Worker (Clinical)
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Physician Assistant (Medical)
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
General Acute Care Hospital
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Family Medicine
6069 S SOUTHLANDS PKWY
AURORA, CO 80016
Family Medicine
6069 S SOUTHLANDS PKWY
AURORA, CO 80016

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 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.

Where is Nicole Huntress located?

Nicole Huntress practices at 6069 S Southlands Pkwy, Aurora, CO 80016. The listed phone number is (303) 928-7555.

What is Nicole Huntress's specialty?

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

Is Nicole Huntress enrolled in Medicare?

Yes. Nicole Huntress is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Huntress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Huntress reassigns Medicare benefits to American Current Care P.A. (Denver, 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 Nicole Huntress'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 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 8 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.