Longs Peak Hospital
Organization Active NPI General Acute Care Hospital · Longmont, CO
NPI 1154876985 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1154876985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- LONGS PEAK HOSPITAL
- Practice address
- 1750 E Ken Pratt Blvd
Longmont, CO 80504-5311 - Phone
- (720) 718-7000
- NPI assigned
- Aug 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Julie Nickell
- Title
- Cfo
- Phone
- (720) 718-7000
Owners & managing parties with NPI records 3
-
John Sampson, M.D.
-
John Stathis, MD
-
Todd B Whitsitt, M.D.
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Facilities with the same owner 19
Practitioners 42
-
Jessica Marie Altree, M.D.
-
Joshua F. Bailey, M.D.
-
Shelly Dawn Barker, M.D.
-
Jian-Zhe Cao, MD
-
Kimberly Dawn Carter, D.O.
-
Vincent Ciampa, D.O
-
Shawn Wayne Cochrane, M.D., PH.D.
-
John C Even III, MD
-
Hannah Fanucchi, MD
-
Aiman Hussain, DO
-
Amy Lou Johnson, MD
-
Derek G Leopold, MD
-
Nicole E Look, M.D.
-
Thomas Wesley Miller, M.D.
-
Jesse Aaron Mortimore, D.O.
-
Carole Nighswander, CNM
-
Sean Pippen, MD
-
Heidi Anne Pomfret, M.D.
Affiliated clinicians 746
-
Dara Aisner, MD
-
Karen B Alderfer, MD
-
Larry Allen, MD
-
Jessica Marie Altree, M.D.
-
Gregory N Arends, M.D.
-
Stacy Marie Atherton, DPM
-
Gregory Austin, MD
-
Lorie Ann Austin, PA-C
-
Nathan Russell Ayer, M.D., M.P.H.
-
Ellyn Ann Ayervais, PA-C
-
David Badesch, MD
-
Heather Baer, MD
-
Joshua F. Bailey, M.D.
-
Zachary Daniel Bailey, D.O.
-
Sarah M Bair, M.D.
-
Delia Bakeman, D.O.
-
Lauren Baloy, APRN
Medicare Care Compare: Hospital
- Listed as
- Longs Peak Hospital
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Hospital certification: CCN 060128
- Legal name
- LONGS PEAK HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 5, 2017
- Last certification
- Aug 11, 2023
- Beds
- 83
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 28, 2015 in CO
- Enrollment address
- 1750 E Ken Pratt Blvd
Longmont, CO 80504-5311 - Hospital subgroups
- General, Acute care, Short-term
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| David C Osborn |
Corporate Director |
Sep 28, 2015 | |
| Theresa K Pena |
Corporate Director |
Oct 13, 2021 | |
| John P Stathis |
Corporate Director |
Jan 19, 2017 | |
| John Waters |
Corporate Director | Feb 19, 2024 | |
| Karen Stuart |
Corporate Director |
Aug 3, 2021 | |
| Greg Ludlow |
Corporate Director |
Jan 19, 2017 | |
| Colleen Simpson |
Corporate Director | Feb 19, 2024 | |
| Donald M Elliman |
Corporate Director |
Sep 28, 2015 | |
| Laura Steele |
Corporate Director |
Sep 28, 2015 | |
| Steve Hess |
Corporate Director |
Jan 19, 2017 | |
| W-2 Managing Employee | Jan 19, 2017 | ||
| Julie Nickell |
Corporate Officer |
May 20, 2024 | |
| W-2 Managing Employee | May 20, 2024 | ||
| Richard L Monfort |
Corporate Director |
Sep 28, 2015 | |
| Todd N Hofheins |
Corporate Officer |
Jun 23, 2025 | |
| W-2 Managing Employee |
Jun 23, 2025 | ||
| University of Colorado Health |
Operational/Managerial Control | Sep 28, 2015 | |
| Ryan C Rohman |
Corporate Officer |
Apr 5, 2023 | |
| W-2 Managing Employee |
Apr 5, 2023 | ||
| Todd Whitsitt |
Corporate Director |
Sep 28, 2015 | |
| Michael Long |
Corporate Director |
Feb 26, 2019 | |
| Raymond T Baker |
Corporate Director |
Sep 28, 2015 | |
| John Sampson |
Corporate Director | Jul 1, 2024 | |
| Daniel Stroh |
Corporate Director |
Jan 19, 2017 | |
| Elizabeth B Concordia |
Corporate Officer |
Sep 28, 2015 | |
| W-2 Managing Employee |
Sep 28, 2015 | ||
| April D Jones |
Corporate Director |
Oct 27, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170707002019 | CO | Part a Provider - Hospital | 5092084939 | Practice locations: Longmont, CO |
National Provider Directory
- Tax ID family
- Longs Peak Hospital
Locations
1750 E Ken Pratt Blvd
Ste 3
Longmont, CO 80504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | CO | Yes |
Addresses
Primary practice location
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Mailing address
7901 E. Lowry Blvd
F402, 3Rd Floor
Denver, CO 80230
Other providers in Longmont, CO
- Longmont-Mountain View Surgery Center LLC
- Longs Peak Emergency Physicians, PC
- Longs Peak Family Practice, PC
- Longs Peak Healthcare, Inc.
- Longs Peak Healthcare, Inc.
- Longs Peak Hospital
- Chandra Rae Lontz-Smith
- Krista Loos-Christensen
- Amanda Lopez
- Danielle C Loptien
All providers in Longmont, CO · General Acute Care Hospital in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.