Cara R Bruntz, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Greeley, CO
NPI 1194089425 · NPPES record last updated May 8, 2024
Key facts
- NPI
- 1194089425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- RXN.100829-NP (CO)
- Practice address
- 1800 15TH St Ste 310
Greeley, CO 80631-4562 - Phone
- (970) 810-0900
- Fax
- (970) 810-3785
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Banner Health Physicians Colorado LLC
Practice addresses (Care Compare)
1800 15TH St
Greeley, CO 80631-4562
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
1900 Boise Ave
Loveland, CO 80538-5004
4700 Lady Moon Dr
Fort Collins, CO 80528-4426
Hospital & facility affiliations
- Banner North Colorado Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120723000236 | CO | Practitioner - Nurse Practitioner | 4385800218 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RXN.100829-NP | CO | MD | Acute Care Nurse Practitioner |
| 990425 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Colorado LLC | Current |
Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current |
Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current |
Accepting new patients | |
| Banner Hospital Based Physicians Colorado LLC | Current |
Accepting new patients | |
| Banner Health Physicians Colorado LLC | Past | Accepting new patients | |
| Dynamic Health, LLC | Past | Accepting new patients | |
| Ultimate Expression LLC | Past | Accepting new patients |
Locations
1800 15th St
Ste 340
Greeley, CO 80631
Phone (970) 351-6044
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
1800 15th St
Ste 310
Greeley, CO 80631
Phone (970) 392-0900
5890 W 13th St
Ste 106
Greeley, CO 80634
Phone (970) 378-1000
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 990425 | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | RXN.100829-NP | CO | Yes |
Addresses
Primary practice location
1800 15TH St Ste 310
Greeley, CO 80631-4562
Mailing address
1800 15TH St Ste 310
Greeley, CO 80631-4562
Phone (970) 810-0900
Other providers in Greeley, CO
- Sarah E Brunkhardt
- Rachael M Brunkow
- Ann Brunner
- Jovanna Brunner
- Daniel L Bruns
- Nicole Buccelli
- Teresa Bucenec
- Caitlin Emily Buchholz
- Breanna Buchman
- Amber Buck
All providers in Greeley, CO · Acute Care Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 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.
- Order and Referring (CMS).
- 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.