Individual provider Active NPI

Beth Lynn Hedstrom, AGACNP-BC FNP-BC APN

  • Family Nurse Practitioner
  • Collbran, CO
National Provider Identifier
1306407168
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993767-NP Issued in CO
Practice address
58128 Highway 330
Collbran, CO 81624-9502
Phone
(719) 487-3565
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0993767-NP CO
Acute Care Nurse Practitioner 363LA2100X APN.0993767-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0993767-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0993767-NP CO
Family Nurse Practitioner 363LF0000X APN.0993767-NP CO Primary

Addresses

Primary practice location

58128 Highway 330
Collbran, CO 81624-9502

Mailing address

PO Box 25
Peyton, CO 80831-0025
Phone (719) 445-1411

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
I20210427001882 CO Practitioner - Nurse Practitioner 6507274701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plateau Valley Hospital DistrictGroup PAC ID 1658365879, 3 clinicians

Practice addresses (Care Compare)

58128 Hwy 330
Collbran, CO 81624-9502
Phone (970) 487-3565

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Community Hospital Hospital, Grand Junction, CO, CCN 060054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993767-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plateau Valley Hospital District CurrentSince Dec 25, 2020 Accepting new patients

Locations

58128 Highway 330
Collbran, CO 81624
Phone (970) 487-0211

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1306407168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808310025",
            "telephone_number": "719-445-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58128 HIGHWAY 330",
            "city": "COLLBRAN",
            "state": "CO",
            "postal_code": "816249502",
            "telephone_number": "719-487-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDSTROM",
        "first_name": "BETH",
        "middle_name": "LYNN",
        "credential": "AGACNP-BC FNP-BC APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993767-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0993767-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993767-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993767-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993767-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collbran, CO

Sources for this page

Verify at the official NPI Registry.