Active NPI
Lindsey Rae Bollinger, NP
- Acute Care Nurse Practitioner
- Canon City, CO
National Provider Identifier
1447727367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN.0994257-NP
- Practice address
- 115 S 7TH St Ste 112
Canon City, CO 81212-3782 - Phone
- (719) 299-0988
- Fax
- (719) 347-6583
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0994257-NP | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | APN.0994257-NP | CO | Primary |
Addresses
Primary practice location
115 S 7TH St Ste 112
Canon City, CO 81212-3782
Mailing address
115 S 7TH St Ste 112
Canon City, CO 81212-3782
Phone (719) 299-0988
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212001079 | CO | Practitioner - Nurse Practitioner | 9032453402 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
115 S 7TH St
Suite 112
Canon City, CO 81212-3782
Phone (719) 299-0988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0994257-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Health | Single Specialty | Current | Accepting new patients |
Locations
115 S 7th St
Ste 112
Canon City, CO 81212
Phone (719) 299-0988
416 Colorado Ave
Pueblo, CO 81004
Phone (719) 320-1256
Interoperability endpoints
- lindsey.bollinger.1@31982.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Canon City, CO
- NPI 1124892526
CO, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733011200000",
"number": "1447727367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S 7TH ST STE 112",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123782",
"telephone_number": "719-299-0988",
"fax_number": "719-347-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S 7TH ST STE 112",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812123782",
"telephone_number": "719-299-0988",
"fax_number": "719-347-6583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "LINDSEY",
"middle_name": "RAE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2024-12-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0994257-NP",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "APN.0994257-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.