Individual provider Active NPI

Tracy Leigh Shulsinger, N.P.

  • Nurse Practitioner
  • Niwot, CO
National Provider Identifier
1083987648
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
177886 Issued in CO
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

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

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

LicenseStateTypeSpecialty
177886COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Collective LLC CurrentSince Aug 6, 2019 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.

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

Verify at the official NPI Registry.