ELIZABETH KELLER HACKENBERGER (N.P.) – Acute Care Nurse Practitioner, NPI 1932362647
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Loading map...
Provider Addresses for ELIZABETH KELLER HACKENBERGER (N.P.)
PO BOX 800022
KANSAS CITY, MO 641800022
Phone: (800) 953-0104
Type: Mailing
540, Mountain View Avenue, Longmont, Boulder County, Colorado, 80501, United States
LONGMONT, CO 805013183
Phone: (303) 951-4059
Type: Mailing
100 Health Park Dr
Louisville, CO 800279583
Phone: (303) 673-1000
Fax: (303) 673-1204
Type: Location
11600 W 2nd Pl
Lakewood, CO 802281527
Phone: (720) 321-0000
Fax: (720) 321-1759
Type: Location
1950 MOUNTAIN VIEW AVE
LONGMONT, CO 805013129
Phone: (303) 485-3066
Fax: (303) 485-3060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190116003429 | I | Nurse Practitioner | CO | TBD |
| I20250204001070 | I | Nurse Practitioner | OK | TBD |
| I20250415000533 | I | Nurse Practitioner | NC | TBD |
| I20251219003890 | I | Nurse Practitioner | MD | 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 64180)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Clinical Nurse Specialist (Cns) | OK | |
| Emergency Medicine | OK | |
| Family Practice | PA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | OK | |
| Internal Medicine | NY | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.