Individual provider Active NPI

Nathaniel S Chappelle, MD

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1194160077
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0059705 Issued in CO
Practice address
305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone
(970) 663-3500
NPI assigned
May 6, 2013
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 0059705 CO Primary

Addresses

Primary practice location

305 Carpenter Rd
Fort Collins, CO 80525-4248

Mailing address

305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500

Other identifiers 3

IdentifierTypeStateIssuer
1194160077MedicaidMN
1194160077OtherMNBCBS
0001-0117092OtherMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825000907 SD Practitioner - Family Practice 6507160322 Reassigns benefits to 1 organization
I20180403002766 CO Practitioner - Family Practice 6507160322 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0059705COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Metro Denver, Inc Family Medicine Current Accepting new patients
Pathways Hospice Family Medicine Current Accepting new patients
Pathways Hospice CurrentSince Feb 6, 2023 Accepting new patients
Hospice of Metro Denver, Inc CurrentSince Oct 1, 2023 Accepting new patients
Haxtun Hospital District Family Medicine CurrentSince Nov 20, 2020 Accepting new patients
Hospice of Metro Denver, Inc CurrentSince Oct 1, 2023 Accepting new patients
Pikes Peak Hospice and Palliative Care Inc Family Medicine Current Accepting new patients
Pikes Peak Hospice and Palliative Care Inc Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Haxtun Hospital District Current Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
Pathways Hospice Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Sunrise Community Health CurrentSince Jan 24, 2022 Accepting new patients
Sunrise Community Health CurrentSince Jan 24, 2022 Accepting new patients
Haxtun Hospital District CurrentSince Nov 20, 2020 Accepting new patients
Care Synergy Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Sunrise Community Health Family Medicine Current Accepting new patients
Pathways Hospice Past Accepting new patients
Pathways Hospice Past Accepting new patients

Locations

6750 W 52nd Ave
Arvada, CO 80002
Phone (303) 329-0870

2550 Tenderfoot Hill St
Colorado Springs, CO 80906
Phone (719) 633-3400

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

8299 E Lowry Blvd
Denver, CO 80230
Phone (303) 329-0870

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

4075 W 11th St
Greeley, CO 80634
Phone (970) 356-4090

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 774-6123

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • Direct secure messaging: nathaniel.chappelle@sfhc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pathways HospiceFort Collins, CO, CCN 061516 Hospice W-2 Managing Employee Mar 9, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1194160077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELLE",
        "first_name": "NATHANIEL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0059705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194160077",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1194160077",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0001-0117092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.