Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Dakota Jae McIntosh, FNP-C

Individual provider Registered Nurse · NPI 1497316657

Katelyn Dakota Jae McIntosh, FNP-C is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone: (719) 365-3220
Fax: (719) 365-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9320 Grand Cordera Pkwy Ste 100, Colorado Springs, CO 80924-7004 — (719) 282-6337

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009146A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28216991A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71009146A (IN)

Record details

NPI number1497316657
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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