NPIMap

Individual provider Active NPI

Damoine Ricks, APN-NP

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1235852344
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998031-NP Issued in CO
Practice address
1221 28TH Ave Unit 5
Greeley, CO 80634-5466
Phone
(970) 617-5794
Fax
(800) 878-4383
NPI assigned
Sep 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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.0998031-NP CO Primary

Addresses

Primary practice location

1221 28TH Ave Unit 5
Greeley, CO 80634-5466

Mailing address

1318 27TH Ave
Greeley, CO 80634-6443
Phone (970) 815-1787

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
I20240604003619 CO Practitioner - Nurse Practitioner 9436691532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142

2021 Battlecreek Dr
Unit a
Fort Collins, CO 80528-5120
Phone (970) 231-4008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JG LLC Family CurrentSince Apr 29, 2024 Accepting new patients
Northern Colorado Hospitalists Professional LLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

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

2021 Battlecreek Dr
Unit A
Fort Collins, CO 80528
Phone (720) 770-0259

2928 W 10th St
Greeley, CO 80634
Phone (970) 351-8181

1365 W 29th St
Loveland, CO 80538
Phone (970) 388-3279

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1235852344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 27TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346443",
            "telephone_number": "970-815-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 28TH AVE UNIT 5",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806345466",
            "telephone_number": "970-617-5794",
            "fax_number": "800-878-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "DAMOINE",
        "credential": "APN-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998031-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.