Individual provider Active NPI

Nichole Phillips, D.O., M.P.H

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Loveland, CO
National Provider Identifier
1235573080
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
CDRH.0069585 Issued in CO
Practice address
2500 Rocky Mountain Ave Ste 2100
Loveland, CO 80538-9004
Phone
(970) 624-1900
Fax
(970) 624-2192
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0102205165 VA
Emergency Medicine Physician 207P00000X OT015110 PA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X CDRH.0069585 CO Primary
Emergency Medicine Physician 207P00000X 0102205165 VA

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 2100
Loveland, CO 80538-9004

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other practice location 1

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 981-7000

Other practice location 2

8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Other practice location 3

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

Other practice location 4

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nphillips104940@direct.carilionclinic.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, CO, IL, ND5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160518000604 MD Practitioner - Emergency Medicine 1254620032 Reassigns benefits to 1 organization
I20180712002126 VA Practitioner - Emergency Medicine 1254620032 Reassigns benefits to 3 organizations
I20221115001920 CO Practitioner - Hospice/Palliative Care 1254620032 Reassigns benefits to 1 organization
I20250328001860 IL Practitioner - Emergency MedicinePractitioner - Hospice/Palliative Care 1254620032 Reassigns benefits to 2 organizations
I20250620002632 ND Practitioner - Emergency Medicine 1254620032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Grand Island IncGroup PAC ID 1153677828, 21 clinicians
Statera Health Care LLCGroup PAC ID 0244565729, 41 clinicians
Integritas Emergency Physician Services LLCGroup PAC ID 7113167446, 41 clinicians

Practice addresses (Care Compare)

10 E 31St St
Kearney, NE 68847-2908
Phone (308) 865-7100

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680

8 Doctors Pkwy
Mount Vernon, IL 62864-6224
Phone (618) 244-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT015110PAMDEmergency Medicine Physician
CDRH.0069585COMDHospice and Palliative Medicine (Family Medicine) Physician
0102205165VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Sep 9, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Jun 1, 2025 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Sep 9, 2018 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Sep 9, 2018 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Dec 5, 2022 Accepting new patients
Mercy Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Apr 15, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Dec 5, 2022 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
St Paul Place Specialists Inc Emergency Medicine Past Accepting new patients

Locations

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

2121 E Harmony Rd
Unit 170
Fort Collins, CO 80528
Phone (970) 493-6337

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153

2500 Rocky Mountain Ave
Ste 2100UCHMG
Loveland, CO 80538
Phone (970) 203-7000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

3369 Solutions Ctr
Chicago, IL 60677

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2706 Ogden Rd
Roanoke, VA 24018
Phone (540) 970-8000

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: nphillips104940@direct.carilionclinic.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1235573080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 2100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-624-1900",
            "fax_number": "970-624-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "24014",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "fax_number": "540-985-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Doctors Park Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646224",
            "country_code": "US",
            "telephone_number": "618-244-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Lee Hwy N",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "24301",
            "country_code": "US",
            "telephone_number": "540-994-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Chick St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "629602467",
            "country_code": "US",
            "telephone_number": "618-427-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICHOLE",
        "credential": "D.O., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0102205165",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT015110",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "CDRH.0069585",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102205165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nphillips104940@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nphillips104940@direct.carilionclinic.org",
            "address_1": "1906 Belleview Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.