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

Katelyn Rodgers

Individual provider Primary Care Nurse Practitioner · NPI 1629728878

Katelyn Rodgers is a Nurse Practitioner in Denver, Colorado. Qualified in 2021, 5 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2022
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Practice location Address checks out

1850 W 46th Ave
Denver, CO 80211-1240
Phone: (802) 752-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2021230465 (CO)

Record details

NPI number1629728878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 28, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address1850 W 46th Ave, Denver, CO 80211-1240

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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