Individual provider Active NPI

Eli S Mauksch, DNP

  • Family Nurse Practitioner
  • Durango, CO
National Provider Identifier
1437879392
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000530-NP Issued in CO
Practice address
2577 Main Ave
Durango, CO 81301-5919
Phone
(970) 247-8382
NPI assigned
Aug 31, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70960 NM
Family Nurse Practitioner 363LF0000X APN.1000530-NP CO Primary
General Practice Registered Nurse 163WG0000X RN60991461 WA

Addresses

Primary practice location

2577 Main Ave
Durango, CO 81301-5919

Mailing address

2577 Main Ave
Durango, CO 81301-5919

Other practice location 1

604 S Rio Grande Ave
Aztec, NM 87410-2260
Phone (505) 334-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250606002359 NM Practitioner - Nurse Practitioner 1850801036 Reassigns benefits to 1 organization
I20250606002741 CO Practitioner - Nurse Practitioner 1850801036 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
Durango Urgent Care LLCGroup PAC ID 9335141266, 18 clinicians
Aztec Urgent Care, LLCGroup PAC ID 7810189016, 17 clinicians

Practice addresses (Care Compare)

2577 Main Ave
Durango, CO 81301-5919
Phone (970) 247-8382

2930 E Main St
Farmington, NM 87402-7624
Phone (970) 505-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60991461WAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aztec Urgent Care, LLC CurrentSince Apr 29, 2025 Accepting new patients
Durango Urgent Care LLC CurrentSince Apr 29, 2025 Accepting new patients

Locations

1942 E Main St
Cortez, CO 81321
Phone (970) 516-5500

2577 Main Ave
Durango, CO 81301
Phone (970) 247-8382

604 S Rio Grande Ave
Aztec, NM 87410
Phone (505) 334-2664

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 4

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1437879392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 MAIN AVE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015919",
            "telephone_number": "970-247-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 S Rio Grande Ave",
            "address_purpose": "LOCATION",
            "city": "Aztec",
            "state": "NM",
            "postal_code": "874102260",
            "country_code": "US",
            "telephone_number": "505-334-2664",
            "fax_number": "505-334-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUKSCH",
        "first_name": "ELI",
        "middle_name": "S",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70960",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000530-NP",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN60991461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.