NPIMap

Individual provider Active NPI

Rachael Karen Lane-Sugg, FNP-BC

  • Nurse Practitioner
  • Mead, CO
National Provider Identifier
1386435584
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.1000656-NP Issued in CO
Practice address
3775 Homestead Dr
Mead, CO 80542-4516
Phone
(720) 217-1378
NPI assigned
May 15, 2025
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.1000656-NP CO Primary

Addresses

Primary practice location

3775 Homestead Dr
Mead, CO 80542-4516

Mailing address

3775 Homestead Dr
Mead, CO 80542-4516
Phone (720) 217-1378

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
I20250820001343 CO Practitioner - Nurse Practitioner 1153820683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 Johnstown Ctr Dr
Johnstown, CO 80534-9030
Phone (970) 587-4974

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

222 Johnstown Center Dr
Johnstown, CO 80534
Phone (970) 587-4974

Organizations & group practices 3

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1386435584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 HOMESTEAD DR",
            "city": "MEAD",
            "state": "CO",
            "postal_code": "805424516",
            "telephone_number": "720-217-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 HOMESTEAD DR",
            "city": "MEAD",
            "state": "CO",
            "postal_code": "805424516",
            "telephone_number": "720-217-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE-SUGG",
        "first_name": "RACHAEL",
        "middle_name": "KAREN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1000656-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mead, CO

Sources for this page

Verify at the official NPI Registry.