NPIMap

Individual provider Active NPI

Heidi Nightengale, DO

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1386172096
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65001 Issued in CO
Practice address
2520 W 16TH St
Greeley, CO 80634-4941
Phone
(970) 356-2520
NPI assigned
May 24, 2017
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 65001 CO Primary

Addresses

Primary practice location

2520 W 16TH St
Greeley, CO 80634-4941

Mailing address

6801 W 20TH St Unit 101
Greeley, CO 80634-9640
Phone (970) 378-8000

Other identifiers 1

IdentifierTypeStateIssuer
DR.0065001OtherCOSTATE LICENSE

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
I20201116000579 CO Practitioner - Family Practice 4082025481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians of Greeley LLPGroup PAC ID 0143115691, 28 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

2520 W 16TH St
Greeley, CO 80634-4902
Phone (970) 356-2520

4617 W 20TH St
Unit a Select PT
Greeley, CO 80634-3207
Phone (970) 352-9022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.44 of 100Reported as group
Quality
79.72
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
65001COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians of Greeley LLP Family Medicine CurrentSince Aug 20, 2020 Accepting new patients
Family Physicians of Greeley, LLP Family Medicine CurrentSince Aug 20, 2020 Accepting new patients

Locations

2520 W 16th St
Greeley, CO 80634
Phone (970) 356-2520

6801 W 20th St
Unit 101
Greeley, CO 80634
Phone (970) 378-8000

Interoperability endpoints

  • Direct secure messaging: heidi.nightengale.p1@direct.fpgreeley.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1386172096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344941",
            "telephone_number": "970-356-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTENGALE",
        "first_name": "HEIDI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "65001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR.0065001",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.