Individual provider Active NPI

Lindsey Rae Bollinger, NP

  • Acute Care Nurse Practitioner
  • Canon City, CO
National Provider Identifier
1447727367
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0994257-NP Issued in CO
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

Updated by the provider on Dec 1, 2024

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 APN.0994257-NP CO
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
APN.0994257-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Health Single Specialty CurrentSince Jan 26, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.