Individual provider Active NPI

Debra Jo Hillyer, FNP-C/PA-C

  • Family Nurse Practitioner
  • Eckert, CO
National Provider Identifier
1194925586
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83845 Issued in CO
Practice address
11485 Highway 65
Eckert, CO 81418-5204
Phone
(970) 835-2900
NPI assigned
Jul 23, 2007
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83845 CO Primary

Addresses

Primary practice location

11485 Highway 65
Eckert, CO 81418-5204

Mailing address

11485 Highway 65
Eckert, CO 81418-5204
Phone (970) 835-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000285 CO Practitioner - Nurse Practitioner 4183754732 Practice locations: Eckert, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
83845COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Voans Senior Community Care of Colorado, Inc. CurrentSince Sep 29, 2024 Accepting new patients
Stoney Mesa Family Practice Inc PastSince Jan 1, 2008 Accepting new patients
Delta County Urgent Care, Inc. Past Accepting new patients

Locations

11485 Highway 65
Eckert, CO 81418
Phone (970) 361-5332

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12615/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194925586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11485 HIGHWAY 65",
            "city": "ECKERT",
            "state": "CO",
            "postal_code": "814185204",
            "telephone_number": "970-835-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11485 HIGHWAY 65",
            "city": "ECKERT",
            "state": "CO",
            "postal_code": "814185204",
            "telephone_number": "970-835-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYER",
        "first_name": "DEBRA",
        "middle_name": "JO",
        "credential": "FNP-C/PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "83845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eckert, CO

Sources for this page

Verify at the official NPI Registry.