NPIMap

Individual provider Active NPI

Nicole Suppes, FNP-C

  • Family Nurse Practitioner
  • Sterling, CO
National Provider Identifier
1255967360
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995031-NP Issued in CO
Practice address
102 Hays Ave
Sterling, CO 80751-2866
Phone
(970) 521-3223
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0995031-NP CO Primary

Addresses

Primary practice location

102 Hays Ave
Sterling, CO 80751-2866

Mailing address

102 Hays Ave
Sterling, CO 80751-2866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.suppes@bannerhealth.com Direct Banner Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416000060 CO Practitioner - Nurse Practitioner 4385074350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Regional Medcenter 12 clinicians
North Colorado Family Medicine 22 clinicians

Practice addresses (Care Compare)

102 Hays Ave
Sterling, CO 80751-2866
Phone (970) 521-3223

1600 23Rd Ave
Greeley, CO 80634-6070
Phone (970) 810-2424

Hospital & facility affiliations

  • Sterling Medcare Home Health Inc Home health agency, Sterling, CO, CCN 067274
  • Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995031-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Regional Medcenter CurrentSince May 1, 2020 Accepting new patients
Sterling Regional Medcenter CurrentSince May 1, 2020 Accepting new patients
North Colorado Family Medicine CurrentSince Mar 15, 2026 Accepting new patients
East Morgan County Hospital Past Accepting new patients

Locations

1600 23rd Ave
Greeley, CO 80634
Phone (970) 356-2424

102 Hays Ave
Sterling, CO 80751
Phone (970) 521-3223

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255967360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HAYS AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HAYS AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512866",
            "telephone_number": "970-521-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPPES",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995031-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.suppes@bannerhealth.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Banner Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "102 Hays Ave",
            "city": "Sterling",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807512866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.