Individual provider Active NPI

Carole Nasralla, MD

  • Family Medicine Physician
  • Pagosa Springs, CO
National Provider Identifier
1386672491
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40509 Issued in CO
Practice address
27B Talisman Dr Unit 3
Pagosa Springs, CO 81147-7914
Phone
(970) 372-0456
Fax
(970) 731-9922
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40509 CO Primary

Addresses

Primary practice location

27B Talisman Dr Unit 3
Pagosa Springs, CO 81147-7914

Mailing address

PO Box 1328
Durango, CO 81302-1328
Phone (970) 335-2342

Other practice location 1

52 Village Dr
Pagosa Springs, CO 81147-8368
Phone (970) 264-2104

Other identifiers 5

IdentifierTypeStateIssuer
000N5453OtherNMPROVIDER MEDICAID NUMBER
8HBL75OtherNMMEDICARE NUMBER
000K3526MedicaidNM
HSZ196OtherNMMEDICARE PART B
61453251MedicaidCO

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000407 CO Practitioner - Family Practice 3274536560 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Colorado Mental Health Center, Inc Current Accepting new patients
Southwest Colorado Mental Health Center, Inc CurrentSince Aug 3, 2025 Accepting new patients
Southwest Colorado Mental Health Center Inc Family Medicine CurrentSince Aug 3, 2025 Accepting new patients
The Pagosa Medical Group LLC CurrentSince Sep 25, 2019 Accepting new patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients
Southwest Colorado Mental Health Center, Inc Past Accepting new patients

Locations

495 W 4th St
Dove Creek, CO 81324
Phone (970) 677-2291

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

27B Talisman Dr
Unit U3
Pagosa Springs, CO 81147

52 Village Dr
Pagosa Springs, CO 81147
Phone (970) 264-2104

27B Talisman Dr
Unit 3
Pagosa Springs, CO 81147
Phone (970) 372-0456

Interoperability endpoints

  • Direct secure messaging: carole.nasralla.p1@direct.ahs.nextgenshare.com
  • Direct secure messaging: carole.nasralla@66979158884356.direct.elationemr.com
  • Direct secure messaging: carole.nasralla.1@27000.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1386672491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27B TALISMAN DR UNIT 3",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811477914",
            "telephone_number": "970-372-0456",
            "fax_number": "970-731-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478368",
            "country_code": "US",
            "telephone_number": "970-264-2104",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASRALLA",
        "first_name": "CAROLE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "40509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICAID NUMBER",
            "identifier": "000N5453",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "8HBL75",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K3526",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "HSZ196",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61453251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

Verify at the official NPI Registry.