1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Nurse Practitioner
  6. NPI Profile

KELSEA HOUGH FNP-C
NPI 1861129892
Nurse Practitioner - Family in Aurora, CO

Active since August 01, 2022PECOS Enrolled
72.04/100
CMS Quality Rating
1360 S POTOMAC ST, AURORA, CO 80012(303) 337-5575 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Aug 1, 2022 (2 updates tracked since 2022).

About Kelsea Hough Fnp-c NPPES

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

KELSEA HOUGH FNP-C (NPI 1861129892) is an individual family provider in Aurora, Colorado, licensed in Colorado (APN.0997826-NP) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861129892
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEA HOUGHCredential: FNP-C
Location Address1360 S POTOMAC STAurora, CO 80012-4505
Mailing Address3251 Lowell Blvd Apt 203Denver, CO 80211-3117
Phone(303) 337-5575
Sole ProprietorNo
Enumeration DateAugust 1, 2022
Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration
NPPES CertifiedJuly 31, 2025
✔ NPI 1861129892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0997826-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1683877 (CO)
1360 S POTOMAC ST, Aurora, CO 80012
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12087 S Federal BlvdDenver, CO 80219-5429 · Phone (720) 463-6754 · Fax (720) 640-3312
Location 21 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · Phone (415) 658-6791 · Fax (415) 252-7176

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsea Hough Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kelsea Hough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mauricio Waintrub, M.D., P.C
Same address
Internal Medicine
1360 S POTOMAC ST
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 28 clinicians in this Medicare group
NPI 1336172774 (303) 337-5575
Oak Street Health Physicians Group Of Colorado, PLLC
2.6 mi
Primary Care
740 PEORIA ST
Aurora, CO 80011
  • Reassigned Medicare billing, Colorado enrollment
  • 50 clinicians in this Medicare group
NPI 1760197891 (720) 531-7111

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80012 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.66
Promoting Interoperability100
Improvement Activities40
Cost57.99

Other Providers at the Same Location NPPES 20

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

CHAD MICHAEL LUCCI PA-C
Physician Assistant
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
DR. HERMAN HASSELKUS M.D.
Internal Medicine (Geriatric Medicine)
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
SCOTT A. BRANDT, MD, PC
Specialist
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 689-2300
MRS. JULIA PENNOCK MITCHELL CONSTANTINE PA-C
Physician Assistant
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
MR. DAVID L COOK P.A.
Internal Medicine
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
MRS. AMBER DAWN GILLARD
Physician Assistant
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
DR. MAMTA VARSHNEY M.D.
Internal Medicine
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575
MS. MELISSA WHERLEY TIMOTHY P.A.
Physician Assistant (Medical)
1360 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 337-5575

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 Kelsea Hough's NPI number?

The NPI number for Kelsea Hough is 1861129892. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Kelsea Hough located?

Kelsea Hough practices at 1360 S Potomac St, Aurora, CO 80012. The listed phone number is (303) 337-5575.

What is Kelsea Hough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelsea Hough enrolled in Medicare?

Yes. Kelsea Hough is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsea Hough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsea Hough reassigns Medicare benefits to 2 organizations: Mauricio Waintrub, M.D., P.C (Aurora, CO) and Oak Street Health Physicians Group Of Colorado, PLLC (Aurora, CO). Each 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 Kelsea Hough'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 Kelsea Hough was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.