Individual provider Active NPI

Randall H. Nations, M.D.

  • Family Medicine Physician
  • Breckenridge, CO
National Provider Identifier
1235135369
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37321 Issued in CO
Practice address
400 N Park Ave
# 1-A
Breckenridge, CO 80424
Phone
(970) 547-9200
Fax
(970) 262-2196
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 37321 CO Primary

Addresses

Primary practice location

400 N Park Ave
# 1-A
Breckenridge, CO 80424

Mailing address

PO Box 911416
Denver, CO 80291-1416
Phone (970) 547-9200

Other identifiers 1

IdentifierTypeStateIssuer
01373216MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 13, 2019 through Feb 13, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37321COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
High Country Health Care PC Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1235135369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911416",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802911416",
            "telephone_number": "970-547-9200",
            "fax_number": "970-262-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PARK AVE",
            "address_2": "# 1-A",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-547-9200",
            "fax_number": "970-262-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIONS",
        "first_name": "RANDALL",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "37321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01373216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

Verify at the official NPI Registry.