Individual provider Active NPI

Meghan Ann Croteau Fels, D.O.

  • Pediatrics Physician
  • Greeley, CO
National Provider Identifier
1275808586
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0055167 Issued in CO
Practice address
6801 W 20TH St
Suite 201
Greeley, CO 80634-9637
Phone
(970) 350-5828
Fax
(970) 810-4210
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DR.0055167 CO Primary

Addresses

Primary practice location

6801 W 20TH St
Suite 201
Greeley, CO 80634-9637

Mailing address

6801 W 20TH St
Suite 201
Greeley, CO 80634-9637
Phone (970) 350-5828

Other names 1

  • Meghan Ann Croteau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200414000115 CO Practitioner - Pediatric Medicine 1052741188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0055167COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Jan 8, 2020 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jan 8, 2020 Accepting new patients
Banner Health Physicians Colorado LLC Current Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

6801 W 20th St
Unit 201
Greeley, CO 80634
Phone (970) 330-1090

2001 70th Ave
Ste 300
Greeley, CO 80634
Phone (970) 810-6353

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1275808586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST",
            "address_2": "SUITE 201",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349637",
            "telephone_number": "970-350-5828",
            "fax_number": "970-810-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST",
            "address_2": "SUITE 201",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349637",
            "telephone_number": "970-350-5828",
            "fax_number": "970-810-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELS",
        "first_name": "MEGHAN",
        "middle_name": "ANN CROTEAU",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0055167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "CROTEAU",
            "middle_name": "ANN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.