Active NPI
Tracy Leigh Shulsinger, N.P.
- Nurse Practitioner
- Niwot, CO
National Provider Identifier
1083987648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 177886
- Practice address
- 6800 N 79TH St Ste 202
Niwot, CO 80503 - Phone
- (720) 572-5326
- Fax
- (720) 684-6913
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 177886 | CO | Primary |
Addresses
Primary practice location
6800 N 79TH St Ste 202
Niwot, CO 80503
Mailing address
PO Box 21150
Boulder, CO 80308-4150
Phone (720) 572-5326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2018 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177886 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healing Collective LLC | Current | Accepting new patients |
Locations
6800 N 79th St
Ste 202
Niwot, CO 80503
Phone (303) 652-9222
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Niwot, CO
- NPI 1699174938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1083987648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21150",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084150",
"telephone_number": "720-572-5326",
"fax_number": "720-684-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 N 79TH ST STE 202",
"city": "NIWOT",
"state": "CO",
"postal_code": "80503",
"telephone_number": "720-572-5326",
"fax_number": "720-684-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULSINGER",
"first_name": "TRACY",
"middle_name": "LEIGH",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "177886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niwot, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.