Active NPI
Renaissance Zillioux, FNP-BC
- Family Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1285363879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1651656
- Practice address
- 603 28 1/4 Rd
Grand Junction, CO 81506-6019 - Phone
- (970) 263-2600
- Fax
- (970) 263-2692
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | APN.0997649-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 10057224 | OR | |
| Family Nurse Practitioner | 363LF0000X | 1651656 | CO | Primary |
Addresses
Primary practice location
603 28 1/4 Rd
Grand Junction, CO 81506-6019
Mailing address
PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2600
Other practice location 1
810 E 3rd St Ste B-101
Durango, CO 81301-5728
Phone (970) 764-3415
Other practice location 2
1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone (541) 265-4947
Other practice location 3
36 SW Nye St Ste C
Newport, OR 97365-3821
Phone (541) 265-0445
Other practice location 4
525 N Bay St
Waldport, OR 97394-9010
Phone (541) 265-4947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000207036 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 SE Jetty Ave
Lincoln City, OR 97367-2604
Phone (541) 265-4947
36 SW Nye St
Newport, OR 97365-3821
36 Swnye St
Newport, OR 97365-3821
Hospital & facility affiliations
- Samaritan Pacific Community Hospital
- Samaritan North Lincoln Hospital
- Mercy Regional Medical Center
- San Juan Regional Medical Center Inc
- Animas Surgical Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1651656 | CO | MD | Family Nurse Practitioner |
| 10057224 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Corners Foot and Ankle P.C. | Family | Current | Accepting new patients |
| Four Corners Foot and Ankle P.C. | Current | Accepting new patients |
Locations
111 S Sligo St
Unit C
Cortez, CO 81321
Phone (970) 259-5303
1266 Escalante Dr
Ste 201
Durango, CO 81303
Phone (970) 253-5303
2700 Farmington Ave
Bldg C-1
Farmington, NM 87401
Phone (505) 325-9133
1101 W Murray Dr
Farmington, NM 87401
Phone (505) 326-1600
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Federally Qualified Health Center (FQHC)
- Newport, OR
- NPI 1992755664
-
- Durable Medical Equipment & Medical Supplies
- Farmington, NM
- NPI 1801209499
Hospital & facility affiliations 31
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
-
- General Acute Care Hospital
- Durango, CO
- NPI 1083611644
-
- General Acute Care Hospital
- Durango, CO
- NPI 1588204010
-
- General Acute Care Hospital
- Durango, CO
- NPI 1679113104
-
- General Acute Care Hospital
- Aztec, NM
- NPI 1770123382
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1285363879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1727",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815021727",
"telephone_number": "970-263-2600",
"fax_number": "970-263-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 28 1/4 RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815066019",
"telephone_number": "970-263-2600",
"fax_number": "970-263-2692"
}
],
"practiceLocations": [
{
"address_1": "810 E 3rd St Ste B-101",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813015728",
"country_code": "US",
"telephone_number": "970-764-3415",
"fax_number": "970-764-3785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 SE Jetty Ave Ste C",
"address_purpose": "LOCATION",
"city": "Lincoln City",
"state": "OR",
"postal_code": "973672604",
"country_code": "US",
"telephone_number": "541-265-4947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 SW Nye St Ste C",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973653821",
"country_code": "US",
"telephone_number": "541-265-0445",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 N Bay St",
"address_purpose": "LOCATION",
"city": "Waldport",
"state": "OR",
"postal_code": "973949010",
"country_code": "US",
"telephone_number": "541-265-4947",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZILLIOUX",
"first_name": "RENAISSANCE",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0997649-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10057224",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "1651656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000207036",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.