Nola Anne Macdonald, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32793 Issued in CO

Practice address

315 Canyon Ave Ste 3
Fort Collins, CO 80521-2677

Phone

(970) 472-8008

Fax

(970) 416-7739

NPI assigned

Jul 14, 2006

Last updated

Jan 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Jan 30, 2020 through Jan 30, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Integrative Center for Health

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1932268141
  Authorized official Same address or phone

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1245256320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212677",
            "telephone_number": "970-472-8008",
            "fax_number": "970-416-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE STE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212677",
            "telephone_number": "970-472-8008",
            "fax_number": "970-416-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "NOLA",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01327931",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwen Lyons, LPCC
• Jessica Lyons
• Kevin Sidney Maae
• Chandra Maas, AUD
• Erik Daniel Maas, PA-C
• Katie E Macdonell, LCSW
• Katherine Macdougall, MSW
• Kurt Philip Macek, DDS
• Meily Machado, DPM
• Karen C Macintosh, APN, FNP

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.