NPIMap

Individual provider Active NPI

Ronda Orndoff, NP

  • Acute Care Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1033515895
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0991503 Issued in CO
Practice address
415 N Grand Ave
Pueblo, CO 81003-3111
Phone
(719) 664-2014
Fax
(833) 438-9307
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0991503 CO
Acute Care Nurse Practitioner 363LA2100X 0991503 CO Primary

Addresses

Primary practice location

415 N Grand Ave
Pueblo, CO 81003-3111

Mailing address

415 N Grand Ave
Pueblo, CO 81003-3111
Phone (719) 664-2014

Other practice location 1

3676 Parker Blvd Ste 110
Pueblo, CO 81008
Phone (719) 595-7707

Other identifiers 1

IdentifierTypeStateIssuer
99006375MedicaidCO

Other names 1

  • Ronda Wantland Former name

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
I20141230001538 CO Practitioner - Nurse Practitioner 6305169236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 N Grand Ave
Pueblo, CO 81003-3111
Phone (719) 664-2014

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.94 of 100Reported as group
Quality
84.65
Promoting interoperability
100
Improvement activities
40
Cost
74.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0991503COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Aesthetics, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

415 N Grand Ave
Pueblo, CO 81003
Phone (719) 924-8448

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1033515895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033111",
            "telephone_number": "719-664-2014",
            "fax_number": "833-438-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033111",
            "telephone_number": "719-664-2014",
            "fax_number": "833-438-9307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3676 Parker Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81008",
            "country_code": "US",
            "telephone_number": "719-595-7707",
            "fax_number": "719-595-7629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORNDOFF",
        "first_name": "RONDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991503",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0991503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99006375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "WANTLAND",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.