NPIMap

Individual provider Active NPI

Amy J Archer, DO

  • Family Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1205800208
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0055398 Issued in CO
Practice address
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Feb 15, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3991 AZ
Family Medicine Physician 207Q00000X DR.0055398 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-9894

Other names 1

  • Amy Ryn Other name

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
I20151007002926 CO Practitioner - Family Practice 7315913241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2570 Patterson Rd
Grand Junction, CO 81505-1438
Phone (970) 298-6918

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-7578

2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone (970) 298-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3991AZMDChiropractor
DR.0055398COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Hospital and Medical Center, Inc Family Medicine CurrentSince Apr 7, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 11, 2023 Accepting new patients
St Mary's Hospital and Medical Center, Inc CurrentSince Apr 7, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Dec 11, 2023 Accepting new patients

Locations

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2570 Patterson Rd
Grand Junction, CO 81505
Phone (970) 298-6601

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

735 White Ave
Grand Junction, CO 81501
Phone (970) 248-5880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1205800208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-9894",
            "fax_number": "970-858-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014206",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3991",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0055398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.