NPIMap

Individual provider Active NPI

Stephanie J Speetzen, FNP-C

  • Family Nurse Practitioner
  • Wellington, CO
National Provider Identifier
1386125631
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0994114-NP Issued in CO
Practice address
6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396
Phone
(307) 222-2337
Fax
(970) 363-1441
NPI assigned
Aug 24, 2018
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 40467.1790 WY
Family Nurse Practitioner 363LF0000X 0994114-NP CO Primary

Addresses

Primary practice location

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396

Mailing address

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396
Phone (320) 420-3961

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
I20181016002664 CO Practitioner - Nurse Practitioner 3971855115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Align Medical CenterGroup PAC ID 8123426509, 3 clinicians

Practice addresses (Care Compare)

6557 Buttercup Dr
Unit 6
Wellington, CO 80549-2396
Phone (307) 222-3227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0994114-NPCOMDFamily Nurse Practitioner
40467.1790WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Medical Center Family CurrentSince Nov 8, 2020 Accepting new patients

Locations

6557 Buttercup Dr
Unit 6
Wellington, CO 80549
Phone (307) 222-2337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1386125631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 BUTTERCUP DR UNIT 6",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805492396",
            "telephone_number": "320-420-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 BUTTERCUP DR UNIT 6",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805492396",
            "telephone_number": "307-222-2337",
            "fax_number": "970-363-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEETZEN",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "40467.1790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0994114-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, CO

Sources for this page

Verify at the official NPI Registry.