Individual provider Active NPI

Briana Belisle, FNP- BC, AGACNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1285140400
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993627 Issued in CO
Practice address
111 W Evans Ave
Pueblo, CO 81004-4215
Phone
(719) 542-1000
Fax
(833) 916-2369
NPI assigned
Dec 26, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 0993627 CO Primary

Addresses

Primary practice location

111 W Evans Ave
Pueblo, CO 81004-4215

Mailing address

111 W Evans Ave
Pueblo, CO 81004-4215
Phone (719) 542-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181227001805 CO Practitioner - Nurse Practitioner 7315282076 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993627COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Medicine Specialists PC CurrentSince Nov 15, 2018 Accepting new patients
Chris Trujillo, Inc Family Medicine CurrentSince Aug 23, 2020 Accepting new patients
Jandyco, LLC Past Accepting new patients
Family Medicine Specialists, Inc Family Medicine PastSince Apr 1, 2026 Accepting new patients

Locations

111 W Evans Ave
Pueblo, CO 81004
Phone (719) 542-1000

1225 N Grand Ave
Ste 100
Pueblo, CO 81003
Phone (719) 544-5600

Interoperability endpoints

  • Direct secure messaging: briana.belisle.1@20957.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20957/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1285140400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W EVANS AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044215",
            "telephone_number": "719-542-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W EVANS AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044215",
            "telephone_number": "719-542-1000",
            "fax_number": "833-916-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELISLE",
        "first_name": "BRIANA",
        "credential": "FNP- BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.