Individual provider Active NPI

Valarie V. Mills, CNS

  • Clinical Nurse Specialist
  • Pueblo, CO
National Provider Identifier
1144297185
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
500081 Issued in TX
Practice address
1401 Anita St
Pueblo, CO 81001-2122
Phone
(719) 225-6510
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 500081 TX Primary

Addresses

Primary practice location

1401 Anita St
Pueblo, CO 81001-2122

Mailing address

1401 Anita St
Pueblo, CO 81001-2122
Phone (719) 225-6510

Other identifiers 1

IdentifierTypeStateIssuer
162186401MedicaidTX

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
I20200914002272 CO Practitioner - Certified Clinical Nurse Specialist (CNS) 1951209337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Castillo Primary CareGroup PAC ID 0547558876, 2 clinicians

Practice addresses (Care Compare)

1401 Anita St
Pueblo, CO 81001-2122
Phone (719) 225-6510

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo Primary Care CurrentSince Aug 12, 2020 Accepting new patients

Locations

1401 Anita St
Pueblo, CO 81001
Phone (719) 225-6510

Interoperability endpoints

  • Direct secure messaging: valarie.mills@388266324721668.direct.elationemr.com

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1144297185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ANITA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012122",
            "telephone_number": "719-225-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ANITA ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012122",
            "telephone_number": "719-225-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "VALARIE",
        "middle_name": "V.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "500081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162186401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.