Katelyn Dakota Jae Mcintosh, FNP-C in Colorado Springs, CO

Katelyn Dakota Jae Mcintosh, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Colorado Springs, Colorado. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is 13445 Voyager Pkwy, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 365-3220.

Katelyn Dakota Jae Mcintosh is licensed to practice in Indiana (license number 71009146A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497316657.

Contact Information

	Katelyn Dakota Jae Mcintosh, FNP-C
	13445 Voyager Pkwy, Colorado Springs, CO 80921-7648
	(719) 365-3220
	(719) 365-7680

Map and Direction

Provider's Profile

Full Name	Katelyn Dakota Jae Mcintosh
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	13445 Voyager Pkwy, Colorado Springs, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katelyn Dakota Jae Mcintosh graduated from nursing school in 2019

NPI Data:

NPI Number: 1497316657
Provider Enumeration Date: 06/27/2019
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1153658778
Enrollment ID: I20221012000240

Medical Identifiers

Medical identifiers for Katelyn Dakota Jae Mcintosh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497316657	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28216991A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71009146A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71009146A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uch-memorial Health System	Colorado springs, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	1607

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katelyn Dakota Jae Mcintosh allows following entities to bill medicare on her behalf.

Entity Name	Alliance Family Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326253436 PECOS PAC ID: 1759482292 Enrollment ID: O20070727000151

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katelyn Dakota Jae Mcintosh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katelyn Dakota Jae Mcintosh, FNP-C 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-2420	Katelyn Dakota Jae Mcintosh, FNP-C 13445 Voyager Pkwy, Colorado Springs, CO 80921-7648 Ph: (719) 365-3220

Reviews and Comments

Nurse Practitioner Nurses in Colorado Springs, CO

Barbara J Starkey, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Swope Ave, Colorado Springs, CO 80909 Phone: 719-634-4746 Fax: 719-634-5024
Melinda Mcclendon, RN, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 512-275-2833
Jennifer Turnbaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-4412 Fax: 719-888-1739
Erika Wittler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4284 N Academy Blvd, Colorado Springs, CO 80918 Phone: 719-623-3068
Patricia Dianne Didier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 Space Center Dr, Colorado Springs, CO 80915 Phone: 719-638-5000
Sonia Singh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-7000
Carole Traylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6071 E. Woodmen Rd, Suite 105, Colorado Springs, CO 80923 Phone: 719-597-8704 Fax: 719-597-6864

Katelyn Dakota Jae Mcintosh, FNP-C - Medicare Nurse Practitioner in Colorado Springs, CO