NPIMap

Individual provider Active NPI

Maxwell Edward Stephens, DO

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1033790738
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0069389 Issued in CO
Practice address
1120 Wellington Ave
Grand Junction, CO 81501-6129
Phone
(970) 241-6011
NPI assigned
Apr 15, 2021
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0069389 CO Primary

Addresses

Primary practice location

1120 Wellington Ave
Grand Junction, CO 81501-6129

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 241-6011

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
I20241103000103 CO Practitioner - Family Practice 0143620765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners IncGroup PAC ID 7810893161, 58 clinicians

Practice addresses (Care Compare)

1120 Wellington Ave
Grand Junction, CO 81501-6129
Phone (970) 241-6011

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-7578

2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone (970) 298-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as apm
Quality
86.2
Promoting interoperability
33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0069389COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, Inc. Family Medicine Current Accepting new patients
St Mary's Hospital and Medical Center, Inc Family Medicine Current Accepting new patients
Primary Care Partners, Inc. CurrentSince Oct 22, 2024 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Oct 22, 2024 Accepting new patients

Locations

1120 Wellington Ave
Grand Junction, CO 81501
Phone (970) 241-0170

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

2698 Patterson Rd
Ste 100
Grand Junction, CO 81506
Phone (970) 298-2195

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 241-5856

Interoperability endpoints

  • Direct secure messaging: maxwellstephens@pcp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1033790738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-241-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-241-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MAXWELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0069389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.