Individual provider Active NPI

Sherry L Niccoli, MD

  • Obstetrics & Gynecology Physician
  • Gunnison, CO
National Provider Identifier
1235114018
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42817 Issued in CO
Practice address
234 N Main St Ste 2C
Gunnison, CO 81230-2434
Phone
(970) 641-2885
Fax
(970) 641-2898
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 33737 AZ
Obstetrics & Gynecology Physician 207V00000X 42817 CO Primary

Addresses

Primary practice location

234 N Main St Ste 2C
Gunnison, CO 81230-2434

Mailing address

234 N Main St Ste 2C
Gunnison, CO 81230-2434
Phone (970) 641-2885

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

Other identifiers 1

IdentifierTypeStateIssuer
73353213MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20050112000116 CO Practitioner - Obstetrics/Gynecology 3274581939 Reassigns benefits to 1 organization
I20260520003132 AZ Practitioner - Obstetrics/Gynecology 3274581939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

234 N Main St
Suite 2C
Gunnison, CO 81230-2434
Phone (970) 641-2885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33737AZMDObstetrics & Gynecology Physician
42817COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Lynn Niccoli MD PC Obstetrics & Gynecology CurrentSince Oct 12, 2004 Accepting new patients

Locations

234 N Main St
Ste 2C
Gunnison, CO 81230
Phone (970) 641-2885

Organizations & group practices 2

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 3

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235114018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 N MAIN ST STE 2C",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302434",
            "telephone_number": "970-641-2885",
            "fax_number": "970-641-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N MAIN ST STE 2C",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302434",
            "telephone_number": "970-641-2885",
            "fax_number": "970-641-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-779-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICCOLI",
        "first_name": "SHERRY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "33737",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73353213",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.