Nickolus Delong, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.1000425-NP Issued in CO

Practice address

4777 S Odessa St
Centennial, CO 80015-3449

Phone

(757) 921-7087

NPI assigned

Feb 12, 2025

Last updated

Feb 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound Care Associates of Colorado LLCGroup PAC ID 3678003118, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avida Home Health LLC Home health agency, Greenwood Village, CO, CCN 067607

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Wound Care Associates of Colorado LLC

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1992511786
  Medicare reassignment Care Compare group NPD
• Nbba

  • Multi-Specialty Clinic/Center
  • Denver, CO
  • NPI 1336029925
  Medicare reassignment NPD
• Rocky Mountain Medical & Health Care, Inc.

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1083829659
  Medicare reassignment NPD
• Rocky Mountain Medical & Health Care, Inc.

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1427714088
  NPD
• Compassionate Concierge Physicians, LLC

  • Internal Medicine Physician
  • Longmont, CO
  • NPI 1851074140
  NPD (past)

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

• Avida Home Health LLC

  • Home Health Agency
  • Greenwood Village, CO
  • NPI 1780215194
  Care Compare affiliation

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1326853649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 S ODESSA ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 S ODESSA ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153449",
            "telephone_number": "757-921-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "NICKOLUS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000425-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Delacruz
• Stacy Ellen Delbaugh, MS, CAC III
• Amanda Deleon
• Aylene Delgado Hernandez
• Kasten Delgado
• Angela Mae Delos Santos, PT, DPT
• Reagan Deluca
• Robbin Delva, PT
• Emily Delzer, PA-C
• Thomas J Demaro

• Family Nurse Practitioner in Centennial, CO
• Providers in Centennial, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.

Verify at the official NPI Registry.