Individual provider Active NPI

Nichole Louise Hart, C.R.N.P

  • Family Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1295076297
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0001877-C-NP Issued in CO
Practice address
1708 Boise Ave
Loveland, CO 80538-4204
Phone
(970) 667-3116
Fax
(970) 669-0159
NPI assigned
Mar 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R172017 MD
Family Nurse Practitioner 363LF0000X C-APN.0001877-C-NP CO Primary

Addresses

Primary practice location

1708 Boise Ave
Loveland, CO 80538-4204

Mailing address

PO Box 7643
Loveland, CO 80537-0643
Phone (706) 632-7429

Other identifiers 1

IdentifierTypeStateIssuer
1295076297MedicaidMD

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
I20201109001411 CO Practitioner - Nurse Practitioner 5496982142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altitude Dermatology PCGroup PAC ID 8527505601, 8 clinicians

Practice addresses (Care Compare)

4795 Larimer Pkwy
Suite 150
Johnstown, CO 80534-9021
Phone (970) 342-2222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Dermatology PC Dermatology CurrentSince Aug 20, 2025 Accepting new patients
Lake Loveland Dermatology PC Dermatology CurrentSince Nov 1, 2020 Accepting new patients
Ingerlisa Mattoch MD Inc Current Accepting new patients
Lake Loveland Dermatology PC Dermatology CurrentSince Nov 1, 2020 Accepting new patients

Locations

1101 Oakridge Dr
Fort Collins, CO 80525
Phone (970) 207-9773

4795 Larimer Pkwy
Ste 150
Johnstown, CO 80534
Phone (970) 342-2222

4795 Larimer Pkwy
#150
Johnstown, CO 80534
Phone (970) 342-2222

1350 Tulip St
Ste 2
Longmont, CO 80501
Phone (970) 342-2222

1708 Boise Ave
Loveland, CO 80538
Phone (970) 663-0815

1405 S 8th Ave
Ste 102
Sterling, CO 80751
Phone (970) 522-0591

1683 Main St
Windsor, CO 80550
Phone (970) 400-7618

Interoperability endpoints

  • Direct secure messaging: nhart@idealderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1295076297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7643",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370643",
            "telephone_number": "706-632-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 BOISE AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384204",
            "telephone_number": "970-667-3116",
            "fax_number": "970-669-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "NICHOLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172017",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001877-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295076297",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.