Individual provider Active NPI

Nathaniel Civili, NP

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1003457276
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994776-NP Issued in CO
Practice address
1151 Aloha St
Ste 100
Castle Rock, CO 80108-2833
Phone
(720) 330-1305
Fax
(720) 452-2079
NPI assigned
Sep 30, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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.0994776-NP CO Primary

Addresses

Primary practice location

1151 Aloha St
Ste 100
Castle Rock, CO 80108-2833

Mailing address

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

Other practice location 1

7200 S Alton Way Ste B100
Centennial, CO 80112-2262
Phone (720) 449-4110

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
I20200528003369 CO Practitioner - Nurse Practitioner 3971924945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1151 Aloha St
Suite 100
Castle Rock, CO 80108-2833
Phone (720) 330-1305

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Apr 21, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
VMD Primary Providers Colorado, Inc CurrentSince Nov 28, 2022 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1151 Aloha St
Ste 100
Castle Rock, CO 80108
Phone (720) 330-1305

151 W Lake St
Ste 1500
Fort Collins, CO 80524
Phone (970) 237-8200

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1003457276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 ALOHA ST",
            "address_2": "STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80108",
            "telephone_number": "720-330-1305",
            "fax_number": "720-452-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 ALOHA ST",
            "address_2": "STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801082833",
            "telephone_number": "720-330-1305",
            "fax_number": "720-452-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 S Alton Way Ste B100",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801122262",
            "country_code": "US",
            "telephone_number": "720-449-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIVILI",
        "first_name": "NATHANIEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994776-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.