Individual provider Active NPI

Calvin Edgar Newsome Jr., FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Pagosa Springs, CO
National Provider Identifier
1447790183
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0992964-NP Issued in CO
Practice address
46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8203
Phone
(970) 880-0951
Fax
(970) 507-6016
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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-0992964-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0992964-NP CO Primary

Addresses

Primary practice location

46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8203

Mailing address

46 Eaton Dr Ste 1
Pagosa Springs, CO 81147-8203
Phone (970) 880-0951

Other identifiers 1

IdentifierTypeStateIssuer
1447790183MedicaidCO

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
I20170412002143 CO Practitioner - Nurse Practitioner 2062798796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Health and Psychiatric Services, LLCGroup PAC ID 8325413206, 2 clinicians

Practice addresses (Care Compare)

2343 Eagle Dr
Suite 2
Pagosa Springs, CO 81147-9058
Phone (970) 880-0951

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
92.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN-0992964-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper San Juan Health Service District Current Accepting new patients
Mountain Health and Psychiatric Services, LLC Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

46 Eaton Dr
Ste 1
Pagosa Springs, CO 81147
Phone (970) 731-5566

95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700

2343 Eagle Dr
#2
Pagosa Springs, CO 81147
Phone (970) 731-8383

Interoperability endpoints

  • Direct secure messaging: calvinnewsome@psmedicalcenter.cernerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1447790183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478203",
            "telephone_number": "970-880-0951",
            "fax_number": "970-507-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 EATON DR STE 1",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478203",
            "telephone_number": "970-880-0951",
            "fax_number": "970-507-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "CALVIN",
        "middle_name": "EDGAR",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN-0992964-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0992964-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447790183",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

Verify at the official NPI Registry.