NPIMap

Individual provider Active NPI

Kevin L Pulsipher, D.O.

  • Family Medicine Physician
  • Cedaredge, CO
National Provider Identifier
1093754491
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31211 Issued in CO
Practice address
255 SW 8TH Ave
Cedaredge, CO 81413-3902
Phone
(970) 856-3146
Fax
(970) 856-4385
NPI assigned
Jun 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 31211 CO Primary

Addresses

Primary practice location

255 SW 8TH Ave
Cedaredge, CO 81413-3902

Mailing address

255 SW 8TH Ave
Cedaredge, CO 81413-3902
Phone (970) 856-3146

Other identifiers 1

IdentifierTypeStateIssuer
01312115MedicaidCO

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
I20100324000530 CO Practitioner - Family Practice 4385626563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions36
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31211COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Point Health LLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients

Locations

255 SW 8th Ave
Cedaredge, CO 81413
Phone (970) 856-3146

233 Cottonwood St
Delta, CO 81416
Phone (970) 240-3338

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willow Tree Care CenterDelta, CO, CCN 065249 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • SNH Co Tenant LLC

    dba Willow Tree Care Center

    • Skilled Nursing Facility
    • Delta, CO
    • NPI 1225689771

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093754491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SW 8TH AVE",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133902",
            "telephone_number": "970-856-3146",
            "fax_number": "970-856-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SW 8TH AVE",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133902",
            "telephone_number": "970-856-3146",
            "fax_number": "970-856-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSIPHER",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312115",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedaredge, CO

Sources for this page

Verify at the official NPI Registry.