Individual provider Active NPI

Angela L Kurtz, MD

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1083734313
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0050077 Issued in CO
Practice address
1060 Orchard Ave Unit N
Grand Junction, CO 81501
Phone
(970) 644-3740
Fax
(970) 644-3763
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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.0050077 CO Primary

Addresses

Primary practice location

1060 Orchard Ave Unit N
Grand Junction, CO 81501

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2619

Other practice location 1

2373 G Rd
Grand Junction, CO 81505-1002
Phone (970) 644-4220

Other practice location 2

2020 N 12th St
Grand Junction, CO 81501-2914
Phone (970) 644-4220

Other practice location 3

551 Kokopelli Blvd Unit F
Fruita, CO 81521-6305
Phone (970) 858-6677

Other practice location 4

603 28 1/4 Rd
Grand Junction, CO 81506-6019
Phone (970) 263-2600

Other practice location 5

1060 Orchard Ave Unit N
Grand Junction, CO 81501
Phone (970) 644-3740

Other practice location 6

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 7

1060 Orchard Ave Unit O
Grand Junction, CO 81501-2997
Phone (970) 644-3755

Other identifiers 4

IdentifierTypeStateIssuer
256625100MedicaidMN
35264500MedicaidWI
ENROLLEDMedicaidIA
P00728924OtherMNMEDICARE RAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111201000064 CO Practitioner - Family Practice 7517051345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

1060 Orchard Ave
Grand Junction, CO 81501-2997
Phone (970) 644-3740

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

551 Kokopelli Blvd
Unit F
Fruita, CO 81521
Phone (970) 858-2530

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862

2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484

2373 G Rd
Grand Junction, CO 81505
Phone (970) 242-2429

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1083734313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2619",
            "fax_number": "970-263-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ORCHARD AVE UNIT N",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051002",
            "country_code": "US",
            "telephone_number": "970-644-4220",
            "fax_number": "970-263-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012914",
            "country_code": "US",
            "telephone_number": "970-644-4220",
            "fax_number": "970-263-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Kokopelli Blvd Unit F",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815216305",
            "country_code": "US",
            "telephone_number": "970-858-6677",
            "fax_number": "970-858-6679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 28 1/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815066019",
            "country_code": "US",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Ave Unit N",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "81501",
            "country_code": "US",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Ave Unit O",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012997",
            "country_code": "US",
            "telephone_number": "970-644-3755",
            "fax_number": "970-644-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0050077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256625100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35264500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00728924",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.