Individual provider Active NPI

Veronica Ethel Bartlett, FNP, MS-RN

  • Family Nurse Practitioner
  • La Junta, CO
National Provider Identifier
1003111576
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0010351-NP Issued in CO
Practice address
2215 San Juan Ave
La Junta, CO 81050
Phone
(719) 383-0445
Fax
(719) 383-0448
NPI assigned
Jan 14, 2011
Last updated
May 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0010351-NP CO Primary

Addresses

Primary practice location

2215 San Juan Ave
La Junta, CO 81050

Mailing address

P.O. Box 1081
La Junta, CO 81050
Phone (719) 383-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717000504 CO Practitioner - Nurse Practitioner 0547486185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mauricio Waintrub, M.D., P.CGroup PAC ID 0042118192, 27 clinicians

Practice addresses (Care Compare)

1360 S Potomac St
Suite 100
Aurora, CO 80012-4505
Phone (303) 337-5575

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mauricio Waintrub, M.D., P.C CurrentSince Nov 21, 2016 Accepting new patients

Locations

1360 S Potomac St
Ste 100
Aurora, CO 80012

1360 S Potomac St
Denver, CO 80012
Phone 30333755752023

56441 E Colfax Ave
Strasburg, CO 80136
Phone (303) 622-9241

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1003111576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1081",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-0445",
            "fax_number": "719-383-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-0445",
            "fax_number": "719-383-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "VERONICA",
        "middle_name": "ETHEL",
        "name_prefix": "Ms.",
        "credential": "FNP, MS-RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0010351-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.