Individual provider Active NPI

Sherri Anne Barzdukas, FNP-C

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1386726198
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN 115108 Issued in CO
Practice address
1801 16TH St.
North Colorado Medical Center
Greeley, CO 80631-5154
Phone
(970) 378-4529
Fax
(970) 378-4531
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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 RN 115108 CO Primary
Family Nurse Practitioner 363LF0000X 115108 CO

Addresses

Primary practice location

1801 16TH St.
North Colorado Medical Center
Greeley, CO 80631-5154

Mailing address

1801 16TH St
Hospitalist Office
Greeley, CO 80631-5154
Phone (970) 378-4529

Other identifiers 1

IdentifierTypeStateIssuer
RN 115108OtherCORN

Other names 1

  • Sherri Anne Vanmaanen Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000313 CO Practitioner - Nurse Practitioner 3173533098 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115108COMDFamily Nurse Practitioner
RN 115108COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Hospitalist Services, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jan 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Jan 1, 2012 Accepting new patients
Colorado Hospitalist Services, PLLC CurrentSince Mar 1, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Jul 1, 2014 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Jul 1, 2014 Accepting new patients
Banner Greeley Specialists Past Accepting new patients

Locations

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

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

1801 16th St
Ofc
Greeley, CO 80631
Phone (970) 378-4529

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1386726198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "address_2": "HOSPITALIST OFFICE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-378-4529",
            "fax_number": "970-378-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST.",
            "address_2": "NORTH COLORADO MEDICAL CENTER",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-378-4529",
            "fax_number": "970-378-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARZDUKAS",
        "first_name": "SHERRI",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RN 115108",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "115108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN 115108",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "VANMAANEN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.