Individual provider Active NPI

Edwin Anthony Esquibel, C-FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1245331123
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993107-NP Issued in CO
Practice address
4110 Briargate Pkwy Ste 445
Colorado Springs, CO 80920-7839
Phone
(719) 364-8840
Fax
(719) 364-3597
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R23821 NM
Family Nurse Practitioner 363LF0000X APN.0993107-NP CO Primary

Addresses

Primary practice location

4110 Briargate Pkwy Ste 445
Colorado Springs, CO 80920-7839

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other practice location 1

1204 Main St NE
Suite B
Los Lunas, NM 87031-7423
Phone (505) 388-2015

Other practice location 2

1204 Main St NE
Suite B
Los Lunas, NM 87031-7423
Phone (505) 388-2015

Other identifiers 1

IdentifierTypeStateIssuer
CNP00415OtherNMCERTIFIED NURSE PRACTITIONER

Other names 1

  • Mr. Edwin Anthony Esquibel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170808003119 CO Practitioner - Nurse Practitioner 8325020803 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R23821NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 12, 2018 Accepting new patients
Mesa Emergency Group LLC Past Accepting new patients
Bradley W. Smith, D.O., PLLC Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

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

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

4110 Briargate Pkwy
Ste 445
Colorado Springs, CO 80920
Phone (719) 364-8840

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

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245331123",
    "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",
            "telephone_number": "970-624-4034",
            "fax_number": "970-490-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY STE 445",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207839",
            "telephone_number": "719-364-8840",
            "fax_number": "719-364-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Main St NE",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317423",
            "country_code": "US",
            "telephone_number": "505-388-2015",
            "fax_number": "505-214-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 Main St NE",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317423",
            "country_code": "US",
            "telephone_number": "505-388-2015",
            "fax_number": "505-214-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "EDWIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R23821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993107-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "CNP00415",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "ESQUIBEL",
            "middle_name": "ANTHONY",
            "prefix": "MR.",
            "credential": "C-FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.