Individual provider Active NPI

Anne Elizabeth Newbold, D.O.

  • Emergency Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1255566428
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0060846 Issued in CO
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524
Phone
(970) 495-7000
Fax
(303) 306-7753
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 66954 WI
Emergency Medicine Physician 207P00000X 02004100B IN
Emergency Medicine Physician 207P00000X 036.132720 IL
Emergency Medicine Physician 207P00000X DR.0060846 CO Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524

Mailing address

PO Box 912215
Denver, CO 80291-2215
Phone (970) 495-7000

Other practice location 1

5145 N. California
Swedish Covenant Hospital
chicago, IL 60625
Phone (574) 315-5008

Other practice location 2

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 926-4600

Other practice location 3

1252 County Rd 8
Keystone, CO 80435
Phone (970) 468-6677

Other identifiers 1

IdentifierTypeStateIssuer
9000175029MedicaidCO

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address anewbold347089@direct-ehr-ssmhc.com Direct AGNESIAN HEALTHCARE INC
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other AGNESIAN HEALTHCARE INC
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170413002217 WI Practitioner - Emergency Medicine 1456591122 Reassigns benefits to 19 organizations
I20190910002567 CO Practitioner - Emergency Medicine 1456591122 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0060846COMDEmergency Medicine Physician
036.132720ILMDEmergency Medicine Physician
02004100BINMDEmergency Medicine Physician
66954WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 13, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 8, 2017 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 13, 2022 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 18, 2020 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince Jan 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 8, 2017 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Jan 4, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 18, 2020 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Boulder Emergency Physicians PC Emergency Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 13, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 4, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Boulder Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Jan 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 13, 2022 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 1, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Maple City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine Past Accepting new patients

Locations (25 of 28)

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

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

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

W126N7338 Flint Dr
Ste 200
Menomonee Falls, WI 53051

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 343-7700

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: anne.newbold@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1255566428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912215",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912215",
            "telephone_number": "970-495-7000",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-495-7000",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 N. California",
            "address_2": "Swedish Covenant Hospital",
            "address_purpose": "LOCATION",
            "city": "chicago",
            "state": "IL",
            "postal_code": "60625",
            "country_code": "US",
            "telephone_number": "574-315-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 E Division St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354560",
            "country_code": "US",
            "telephone_number": "920-926-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1252 County Rd 8",
            "address_purpose": "LOCATION",
            "city": "Keystone",
            "state": "CO",
            "postal_code": "80435",
            "country_code": "US",
            "telephone_number": "970-468-6677",
            "fax_number": "970-468-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBOLD",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-11-17",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "66954",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004100B",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.132720",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0060846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000175029",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anewbold347089@direct-ehr-ssmhc.com",
            "affiliation": "Y",
            "affiliationName": "AGNESIAN HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "anewbold347089@direct-ehr-ssmhc.com",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "AGNESIAN HEALTHCARE INC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "430 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549354560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.