MRS. KRISTEN M VANDENBERG-HARRISON (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245558071
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for MRS. KRISTEN M VANDENBERG-HARRISON (APN)
4863 N NEVADA AVE
STE 250
COLORADO SPRINGS, CO 809183951
Phone: (970) 683-7107
Fax: (970) 255-3963
Type: Mailing
137 HOWARD ST
EAGLE, CO 81631
Phone: (970) 328-6969
Fax: (970) 328-6329
Type: Location
30 Benchmark Rd Ste 210
Avon, CO 816207499
Phone: (904) 599-2926
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121024000828 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80918)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CO | 90792 | Psychiatric diagnostic evaluation with medical services | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Mental Health Counselor | NM | |
| Clinical Psychologist | CO | |
| - | CO | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| - | CO |
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