Individual provider Active NPI

Tera Irene Sabatino, NP

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1104526656
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07221741 Issued in CO
Practice address
198 Union Blvd Ste 100
Lakewood, CO 80228-1811
Phone
(303) 980-5676
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07221741 CO Primary

Addresses

Primary practice location

198 Union Blvd Ste 100
Lakewood, CO 80228-1811

Mailing address

198 Union Blvd Ste 100
Lakewood, CO 80228-1811

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530001853 CO Practitioner - Nurse Practitioner 5193182574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Fort Collins PCP LLCGroup PAC ID 2567960396, 47 clinicians

Practice addresses (Care Compare)

1113 Oakridge Dr
Fort Collins, CO 80525-5591
Phone (970) 449-0961

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07221741COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Fort Collins PCP LLC CurrentSince Aug 1, 2025 Accepting new patients
VMD Primary Providers Colorado, Inc CurrentSince Apr 3, 2025 Accepting new patients
Banner Fort Collins PCP LLC Past Accepting new patients

Locations

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

1107 S Lemay Ave
Ste 200
Fort Collins, CO 80524
Phone (970) 484-1757

1113 Oakridge Dr
Fort Collins, CO 80525
Phone (970) 225-0040

2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800

205 S Main St
Ste B
Longmont, CO 80501
Phone (303) 772-6244

1625 Foxtrail Dr
Ste 190
Loveland, CO 80538
Phone (970) 500-2244

1683 Main St
Windsor, CO 80550
Phone (970) 400-7618

Organizations & group practices 3

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1104526656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 UNION BLVD STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 UNION BLVD STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281811",
            "telephone_number": "303-980-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "TERA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "F07221741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.