Individual provider Active NPI

Nicole Lynn Stalter, ARNP

  • Family Nurse Practitioner
  • Glenwood Springs, CO
National Provider Identifier
1265449128
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SNP 100095 Issued in CO
Practice address
1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AO92663 IA
Nurse Practitioner 363L00000X AP-N0990646-NP CO
Family Nurse Practitioner 363LF0000X SNP 100095 CO Primary

Addresses

Primary practice location

1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 442-2615

Other practice location 1

802 S Center St
Marshalltown, IA 50158-3350
Phone (641) 844-5200

Other practice location 2

5373 S Green St Ste 400
Murray, UT 84123-4740
Phone (801) 442-2615

Other identifiers 2

IdentifierTypeStateIssuer
1265449128MedicaidIA
1426247MedicaidIA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nstalter122808@directmcfarlandclinic.com Health Information Exchange (HIE)
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, CO, MT, UT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050721000760 IA Practitioner - Nurse Practitioner 4587691431 Reassigns benefits to 4 organizations
I20121128000730 CO Practitioner - Nurse Practitioner 4587691431 Reassigns benefits to 1 organization
I20230626003509 MT Practitioner - Nurse Practitioner 4587691431 Reassigns benefits to 1 organization
I20260417002058 UT Practitioner - Nurse Practitioner 4587691431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, shared by 4 NPIs, 571 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1027 N 27TH St
Billings, MT 59101-0711
Phone (406) 237-5110

5373 S Green St
Suite 400
Murray, UT 84123-4740
Phone (866) 415-6556

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

802 S Ctr St
Marshalltown, IA 50158-3350
Phone (641) 844-5200

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

8550 W 38TH Ave
220 Wheat Ridge Clinic Primary Care
Wheat Ridge, CO 80033-4300
Phone (303) 403-3670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP-N0990646-NPCOMDNurse Practitioner
AO92663IAMDNurse Practitioner
SNP 100095COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 27, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince May 8, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Feb 27, 2023 Accepting new patients

Locations

8900 E 46th Pl
Denver, CO 80238
Phone (303) 403-6300

8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-4122

1027 N 27th St
Billings, MT 59101
Phone (406) 237-5110

Interoperability endpoints

  • Direct secure messaging: nstalter122808@directmcfarlandclinic.com

Organizations & group practices 9

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1265449128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-442-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE",
            "address_2": "SUITE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014288",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 S Center St",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501583350",
            "country_code": "US",
            "telephone_number": "641-844-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5373 S Green St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841234740",
            "country_code": "US",
            "telephone_number": "801-442-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALTER",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "AO92663",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "AP-N0990646-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "SNP 100095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265449128",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1426247",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nstalter122808@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "802 S Center St",
            "city": "Marshalltown",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501583350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.