Active NPI
Nicole Lynn Stalter, ARNP
- Family Nurse Practitioner
- Glenwood Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SNP 100095
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265449128 | Medicaid | IA | |
| 1426247 | Medicaid | IA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP-N0990646-NP | CO | MD | Nurse Practitioner |
| AO92663 | IA | MD | Nurse Practitioner |
| SNP 100095 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
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-
- Multi-Specialty Clinic/Center
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- NPI 1639135643
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- General Practice Physician
- Billings, MT
- NPI 1669192134
-
- Geriatric Medicine (Internal Medicine) Physician
- Pleasant Valley, IA
- NPI 1912880634
-
- Geriatric Medicine (Internal Medicine) Physician
- Westminster, MD
- NPI 1770301277
IA
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IA
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Physical Medicine & Rehabilitation Physician
- Wheat Ridge, CO
- NPI 1528649597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.