Individual provider Active NPI

Emily Beckett, PMHNP-BC

  • Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1245057454
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1000087 Issued in CO
Practice address
1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone
(970) 888-4070
NPI assigned
Sep 20, 2024
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 55687 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1000087 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 55687 WY
Nurse Practitioner 363L00000X 1000087 CO Primary

Addresses

Primary practice location

1301 Riverside Ave
Fort Collins, CO 80524-4374

Mailing address

PO Box 20092
Cheyenne, WY 82003-7002
Phone (307) 630-4729

Other practice location 1

2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729

Other names 1

  • Emily Anne Hall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241209001080 WY Practitioner - Nurse Practitioner 0446786990 Reassigns benefits to 1 organization
I20250529003973 CO Practitioner - Nurse Practitioner 0446786990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 Riverside Ave
Fort Collins, CO 80524-4374
Phone (970) 888-4070

2500 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone (307) 630-4729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1000087COMDPsychiatric/Mental Health Nurse Practitioner
55687WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liv in-Home Counseling & Care Management, LLC Psychiatric/Mental Health CurrentSince Nov 21, 2024 Accepting new patients
Liv in-Home Counseling & Care Management, LLC PastSince Nov 21, 2024 Accepting new patients

Locations

1301 Riverside Ave
Fort Collins, CO 80524
Phone (970) 482-3680

6631 E 2nd St
Ste 200
Casper, WY 82609
Phone (307) 277-0652

2500 Dell Range Blvd
Cheyenne, WY 82009
Phone (307) 630-4729

Networks

  • UT PPO D-SNP
  • UT PPO

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1245057454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20092",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037002",
            "telephone_number": "307-630-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244374",
            "telephone_number": "970-888-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Dell Range Blvd",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820095273",
            "country_code": "US",
            "telephone_number": "307-630-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "EMILY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "55687",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1000087",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "55687",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HALL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.