Individual provider Active NPI

Nathan Thomas Bucci, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Broomfield, CO
National Provider Identifier
1245800481
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0029135 Issued in CO
Practice address
2355 W 136TH Ave
Broomfield, CO 80023-9331
Phone
(303) 658-9827
NPI assigned
Jun 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X APRN.CNP.0029135 CO Primary
Family Nurse Practitioner 363LF0000X APN.1001140-NP CO
Family Nurse Practitioner 363LF0000X APRN.CNP.0029135 OH

Addresses

Primary practice location

2355 W 136TH Ave
Broomfield, CO 80023-9331

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other practice location 1

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone (970) 764-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, 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
I20210802002254 OH Practitioner - Nurse Practitioner 4082018833 Reassigns benefits to 1 organization
I20240402001946 CO Practitioner - Nurse Practitioner 4082018833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians

Practice addresses (Care Compare)

2355 W 136TH Ave
Broomfield, CO 80023-9331
Phone (303) 658-9827

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1001140-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince Apr 8, 2024 Accepting new patients
Incare Health Solutions LLC CurrentSince Jul 1, 2021 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Jul 1, 2021 Accepting new patients

Locations

2355 W 136th Ave
Broomfield, CO 80023
Phone (303) 658-9827

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

13700 Colorado Blvd
Thornton, CO 80602
Phone (303) 451-4250

4832 W Broad St
Columbus, OH 43228
Phone (614) 465-7457

1100 Sunbury Rd
Ste 706
Delaware, OH 43015
Phone (740) 363-3133

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: nathan.bucci@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1245800481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 W 136TH AVE",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239331",
            "telephone_number": "303-658-9827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3352",
            "fax_number": "970-764-3359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "NATHAN",
        "middle_name": "THOMAS",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APRN.CNP.0029135",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1001140-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.