NPIMap

Individual provider Active NPI

Stephanie Pivik Mager, M.D.

  • Obstetrics & Gynecology Physician
  • Windsor, CO
National Provider Identifier
1093198608
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0063012 Issued in CO
Practice address
1455 Main St Ste 150
Windsor, CO 80550-5561
Phone
(970) 674-6460
Fax
(970) 336-1505
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301108204 MI
Obstetrics & Gynecology Physician 207V00000X DR.0063012 CO Primary

Addresses

Primary practice location

1455 Main St Ste 150
Windsor, CO 80550-5561

Mailing address

1455 Main St Ste 150
Windsor, CO 80550-5561
Phone (970) 674-6460

Other practice location 1

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6828

Other practice location 2

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6828

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
I20190910001700 CO Practitioner - Obstetrics/Gynecology 0042518219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

4650 Signal Tree Dr
Suite 1200
Timnath, CO 80547-4908
Phone (719) 237-7415

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0063012COMDObstetrics & Gynecology Physician
4301108204MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 23, 2019 Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

5881 W 16th St
Greeley, CO 80634
Phone (970) 313-2700

5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

1715 61st Ave
Greeley, CO 80634
Phone (970) 336-1500

1760 E Ken Pratt Blvd
Ste 201
Longmont, CO 80504
Phone (720) 718-5200

2500 Rocky Mountain Ave
Ste 151
Loveland, CO 80538
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

4650 Signal Tree Dr
Ste 1200
Timnath, CO 80547
Phone (970) 237-7415

355 Eastman Park Dr
Unit 200
Windsor, CO 80550
Phone (970) 336-1500

1455 Main St
Ste 100
Windsor, CO 80550
Phone (970) 207-4857

1455 Main St
Ste 150
Windsor, CO 80550
Phone (970) 674-6460

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 and National Provider Directory roles.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1093198608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 150",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505561",
            "telephone_number": "970-674-6460",
            "fax_number": "970-336-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 150",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505561",
            "telephone_number": "970-674-6460",
            "fax_number": "970-336-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025303",
            "country_code": "US",
            "telephone_number": "989-583-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025303",
            "country_code": "US",
            "telephone_number": "989-583-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGER",
        "first_name": "STEPHANIE",
        "middle_name": "PIVIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301108204",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0063012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.