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

Kira Miyoko Lebsack, AG-NP

Individual provider Registered Nurse · NPI 1457022568

Kira Miyoko Lebsack, AG-NP is a Nurse Practitioner in Wheat Ridge, Colorado. Qualified in 2021, 5 years ago. Practices with Portercare Adventist Health System, a 767-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

10900 W 44th Ave Unit 200
Wheat Ridge, CO 80033-2742
Phone: (303) 993-1330
Fax: (303) 647-3647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN.0996961-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN.0199048 (CO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN.0996961-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0996961-NP (CO)

Record details

NPI number1457022568
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-NP
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

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 Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wheat Ridge