NPIMap

Individual provider Active NPI

James M. Fretwell, M.D.

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1053331603
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35951 Issued in CO
Practice address
205 S Main St Ste B
Longmont, CO 80501-1714
Phone
(303) 772-6244
Fax
(303) 702-1623
NPI assigned
Jul 19, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 35951 CO Primary

Addresses

Primary practice location

205 S Main St Ste B
Longmont, CO 80501-1714

Mailing address

205 S Main St Ste B
Longmont, CO 80501-1714
Phone (303) 772-6244

Other identifiers 1

IdentifierTypeStateIssuer
01359512MedicaidCO

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
I20100811001037 CO Practitioner - Family Practice 5597764977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

205 S Main St
Suite B
Longmont, CO 80501-1714
Phone (303) 772-6244

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Colorado, Inc Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Banner Fort Collins PCP LLC CurrentSince Aug 1, 2025 Accepting new patients
Banner Fort Collins PCP LLC Past Accepting new patients

Locations

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

205 S Main St
Ste B
Longmont, CO 80501
Phone (303) 772-6244

Networks

  • CO HMO

Organizations & group practices 4

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1053331603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETWELL",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "35951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359512",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.