Individual provider Active NPI

Tamra Marie Meurer, FNP-BC

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1316928542
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.0076875 Issued in CO
Practice address
1236 E Elizabeth St
Suite 2
Fort Collins, CO 80524-4000
Phone
(970) 488-1668
Fax
(970) 472-9381
NPI assigned
Nov 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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 RN.0076875 CO Primary

Addresses

Primary practice location

1236 E Elizabeth St
Suite 2
Fort Collins, CO 80524-4000

Mailing address

1137 Wyndham Hill Rd
Suite 2
Fort Collins, CO 80525-7201
Phone (970) 388-5588

Other identifiers 6

IdentifierTypeStateIssuer
07768757MedicaidCO
10025181600MedicaidNE
P00314037OtherCOMEDICARE CO RR-GSNC INDIV
500015349OtherCORR MEDICARE
651431OtherCOBCBS
P01086321OtherCOMEDICARE CO RR-RMIDC INDIV

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
I20070305000272 CO Practitioner - Nurse Practitioner 0941198238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0076875COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Colorado Living Solutions Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1316928542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 WYNDHAM HILL RD",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257201",
            "telephone_number": "970-388-5588",
            "fax_number": "970-282-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E ELIZABETH ST",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244000",
            "telephone_number": "970-488-1668",
            "fax_number": "970-472-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEURER",
        "first_name": "TAMRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-05",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RN.0076875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07768757",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025181600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CO RR-GSNC INDIV",
            "identifier": "P00314037",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500015349",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "651431",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CO RR-RMIDC INDIV",
            "identifier": "P01086321",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.