Active NPI
Todd W Stull, M.D.
- Psychiatry Physician
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0065259
- Practice address
- 12365 Huron St Ste 1600
Westminster, CO 80234-3496 - Phone
- (970) 528-5030
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19176 | NE | |
| Psychiatry Physician | 2084P0800X | DR.0065259 | CO | Primary |
Addresses
Primary practice location
12365 Huron St Ste 1600
Westminster, CO 80234-3496
Mailing address
1650 S Topaz Way
Meridian, ID 83642-4474
Phone (208) 605-7070
Other practice location 1
12365 Huron St Ste 1800
Westminster, CO 80234-3297
Phone (970) 528-8715
Other practice location 2
4565 Kendall Pkwy
Loveland, CO 80538-9268
Phone (970) 410-8228
Other practice location 3
3800 Automation Way Ste 102
Fort Collins, CO 80525-3451
Phone (970) 900-5835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Nebraska College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 E 23Rd St
Fremont, NE 68025-2387
Phone (402) 721-1610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0065259 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Current | Accepting new patients | |
| Methodist Fremont Health | Past | Accepting new patients | |
| Northpoint Nebraska LLC | Past | Accepting new patients | |
| Northpoint Colorado LLC | Past | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Psychiatry | Past | Accepting new patients |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients | |
| Encounter Telepsychiatry LLC | Psychiatry | Past | Accepting new patients |
Locations
707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000
450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610
2560 N Healthy Way
Fremont, NE 68025
Phone (402) 727-5863
207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fremont, NE
- NPI 1235618216
-
- Substance Abuse Rehabilitation Facility
- Loveland, CO
- NPI 1477155901
-
- Psychiatry Physician
- Omaha, NE
- NPI 1184897647
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- Psychiatry Physician
- Omaha, NE
- NPI 1790034247
-
- Psychiatric Hospital Unit
- Fremont, NE
- NPI 1144709122
-
- Substance Abuse Rehabilitation Facility
- Omaha, NE
- NPI 1023692159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1043289069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 S TOPAZ WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836424474",
"telephone_number": "208-605-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12365 HURON ST STE 1600",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802343496",
"telephone_number": "970-528-5030"
}
],
"practiceLocations": [
{
"address_1": "12365 Huron St Ste 1800",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "802343297",
"country_code": "US",
"telephone_number": "970-528-8715",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4565 Kendall Pkwy",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805389268",
"country_code": "US",
"telephone_number": "970-410-8228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Automation Way Ste 102",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805253451",
"country_code": "US",
"telephone_number": "970-900-5835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STULL",
"first_name": "TODD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "19176",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0065259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.