Individual provider Active NPI

Todd W Stull, M.D.

  • Psychiatry Physician
  • Westminster, CO
National Provider Identifier
1043289069
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0065259 Issued in CO
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

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000603 NE Practitioner - PsychiatryPractitioner - Addiction Medicine 0244393676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

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

LicenseStateTypeSpecialty
DR.0065259COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health CurrentSince Apr 6, 2020 Accepting new patients
Methodist Fremont Health Past Accepting new patients
Northpoint Nebraska LLC PastSince May 1, 2021 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 PastSince Jul 27, 2012 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.

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

Verify at the official NPI Registry.