Individual provider Active NPI

Scott David Parker, FNP-BC

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1215404595
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994236-NP Issued in CO
Practice address
6685 Gunpark Dr Ste 102
Boulder, CO 80301-3343
Phone
(303) 415-5199
NPI assigned
Oct 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 APN.0994236-NP CO Primary

Addresses

Primary practice location

6685 Gunpark Dr Ste 102
Boulder, CO 80301-3343

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-5199

Other practice location 1

3 Superior Dr Ste 100A
Superior, CO 80027-8653
Phone (303) 415-5255

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
I20190207001424 CO Practitioner - Nurse Practitioner 7810235306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2101 Main St
Longmont, CO 80501-1406
Phone (720) 745-8020

2970 Arapahoe Rd
Lafayette, CO 80026-8054
Phone (303) 460-6010

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

420 Steamer Dr
Unit 101
Estes Park, CO 80517
Phone (970) 484-6700

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

1100 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 484-2850

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2970 Arapahoe Rd
Lafayette, CO 80026
Phone (303) 460-6010

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

1159 Eagle Dr
Loveland, CO 80537
Phone (970) 219-5223

13631 Colorado Blvd
Thornton, CO 80602
Phone (303) 252-2960

Organizations & group practices 4

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 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1215404595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-5199",
            "fax_number": "303-415-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 GUNPARK DR STE 102",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013343",
            "telephone_number": "303-415-5199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Superior Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278653",
            "country_code": "US",
            "telephone_number": "303-415-5255",
            "fax_number": "303-415-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994236-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.