NPIMap

Organization Active NPI

Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
National Provider Identifier
1154876985
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 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
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Julie Nickell
Title
Cfo
Phone
(720) 718-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707002019 CO Part A Provider - Hospital 5092084939 Practice locations: Longmont, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154876985. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Sep 28, 2015 in CO
Enrollment address
1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Short-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Longs Peak HospitalCCN 060128 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Longs Peak Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David C Osborn Individual Corporate DirectorBoard Member Sep 28, 2015
Theresa K Pena Individual Corporate DirectorDirector Oct 13, 2021
John P Stathis Individual Corporate DirectorBoard Member Jan 19, 2017
John Waters Individual Corporate Director Feb 19, 2024
Karen Stuart Individual Corporate DirectorDirector Aug 3, 2021
Greg Ludlow Individual Corporate DirectorBoard Member Jan 19, 2017
Colleen Simpson Individual Corporate Director Feb 19, 2024
Donald M Elliman Individual Corporate DirectorBoard Member Sep 28, 2015
Laura Steele Individual Corporate DirectorBoard Member Sep 28, 2015
Steve Hess Individual Corporate DirectorBoard Member Jan 19, 2017
W-2 Managing Employee Jan 19, 2017
Julie Nickell Individual Corporate OfficerCfo May 20, 2024
W-2 Managing Employee May 20, 2024
Richard L Monfort Individual Corporate DirectorBoard Member Sep 28, 2015
Todd N Hofheins Individual Corporate OfficerCfo Jun 23, 2025
W-2 Managing EmployeeCfo Jun 23, 2025
University of Colorado Health Organization, Aurora, CO Corporation, Non-profit, Chain home office Operational/Managerial Control Sep 28, 2015
Ryan C Rohman Individual Corporate OfficerInterim President Apr 5, 2023
W-2 Managing EmployeeInterim President Apr 5, 2023
Todd Whitsitt Individual Corporate DirectorBoard Member Sep 28, 2015
Michael Long Individual Corporate DirectorUchealth Board Member Feb 26, 2019
Raymond T Baker Individual Corporate DirectorBoard Member Sep 28, 2015
John Sampson Individual Corporate Director Jul 1, 2024
Daniel Stroh Individual Corporate DirectorBoard Member Jan 19, 2017
Elizabeth B Concordia Individual Corporate OfficerPresident and Ceo UC Health Sep 28, 2015
W-2 Managing EmployeePresident and Ceo UC Health Sep 28, 2015
April D Jones Individual Corporate DirectorBoard Member Oct 27, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

Affiliated clinicians 746

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 746

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1154876985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E. LOWRY BLVD",
            "address_2": "F402, 3RD FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E KEN PRATT BLVD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "720-718-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS PEAK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-718-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.