NPIMap

Individual provider Active NPI

Angela Serrano, FNP

  • Family Nurse Practitioner
  • Johnstown, CO
National Provider Identifier
1013624667
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998168-NP Issued in CO
Practice address
222 Johnstown Center Dr
Johnstown, CO 80534-9030
Phone
(970) 587-4974
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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.0998168-NP CO Primary

Addresses

Primary practice location

222 Johnstown Center Dr
Johnstown, CO 80534-9030

Mailing address

4527 Angelica Dr
Johnstown, CO 80534-6410
Phone (970) 714-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208001904 CO Practitioner - Nurse Practitioner 2567831886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Health Care IncGroup PAC ID 7618880709, 56 clinicians
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Practice addresses (Care Compare)

1025 Pennock PL
Suite 114
Fort Collins, CO 80524-3250
Phone (970) 495-8800

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Dec 25, 2022 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Dec 25, 2022 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Poudre Valley Health Care Inc CurrentSince Mar 23, 2026 Accepting new patients
Poudre Valley Health Care, Inc CurrentSince Mar 23, 2026 Accepting new patients

Locations

1025 Pennock Pl
Ste 114
Fort Collins, CO 80524
Phone (970) 495-8800

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

222 Johnstown Center Dr
Johnstown, CO 80534
Phone (970) 587-4974

Organizations & group practices 6

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1013624667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 ANGELICA DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346410",
            "telephone_number": "970-714-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JOHNSTOWN CENTER DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349030",
            "telephone_number": "970-587-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998168-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

Verify at the official NPI Registry.