NPIMap

Individual provider Active NPI

Laurie Matson, FNP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1376140004
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995619-NP Issued in CO
Practice address
110 Boardwalk Dr
Fort Collins, CO 80525-3047
Phone
(970) 821-1500
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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 46870 WY
Family Nurse Practitioner 363LF0000X APN.0995619-NP CO Primary

Addresses

Primary practice location

110 Boardwalk Dr
Fort Collins, CO 80525-3047

Mailing address

110 Boardwalk Dr
Fort Collins, CO 80525-3047
Phone (970) 821-1500

Other practice location 1

310 E 24th St
Cheyenne, WY 82001-3126
Phone (307) 633-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000312 CO Practitioner - Nurse Practitioner 6406268804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

5881 W 16TH St
Suite B Womens PT Peds
Greeley, CO 80634-2910
Phone (970) 336-1500

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995619-NPCOMDFamily Nurse Practitioner
46870WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 12, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 12, 2023 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

5881 W 16th St
Greeley, CO 80634
Phone (970) 313-2700

5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500

5881 W 16th St
Ste Bwomens
Greeley, CO 80634
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 151
Loveland, CO 80538
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 2200
Loveland, CO 80538
Phone (970) 203-7250

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7153

4650 Signal Tree Dr
Ste 1200
Timnath, CO 80547
Phone (970) 237-7415

1455 Main St
Ste 100
Windsor, CO 80550
Phone (970) 207-4857

355 Eastman Park Dr
Unit 200
Windsor, CO 80550
Phone (970) 336-1500

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1376140004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253047",
            "telephone_number": "970-821-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253047",
            "telephone_number": "970-821-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013126",
            "country_code": "US",
            "telephone_number": "307-633-7003",
            "fax_number": "307-633-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSON",
        "first_name": "LAURIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "46870",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995619-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.