NPIMap

Individual provider Active NPI

Andrew William Winnefeld, M.D.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1174508923
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45254 Issued in CO
Practice address
1060 Orchard Ave Unit H
Grand Junction, CO 81501-2997
Phone
(970) 241-7600
Fax
(970) 245-9094
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 45254 CO Primary

Addresses

Primary practice location

1060 Orchard Ave Unit H
Grand Junction, CO 81501-2997

Mailing address

1060 Orchard Ave Unit H
Grand Junction, CO 81501-2997
Phone (970) 241-7600

Other identifiers 1

IdentifierTypeStateIssuer
8239843MedicaidCO

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
I20070420000250 CO Practitioner - Family Practice 8426153354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 130
Fruita, CO 81521

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45254COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association Family Medicine Current Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 22, 2024 Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 22, 2024 Accepting new patients
Lower Valley Hospital Association Past Accepting new patients
Lower Valley Hospital Association Family Medicine Past Accepting new patients

Locations

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

Organizations & group practices 5

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 11

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1174508923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 ORCHARD AVE UNIT H",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012997",
            "telephone_number": "970-241-7600",
            "fax_number": "970-245-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ORCHARD AVE UNIT H",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012997",
            "telephone_number": "970-241-7600",
            "fax_number": "970-245-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNEFELD",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "45254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8239843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.