Individual provider Active NPI

Ronda Gail Weir, MSN, FNP-BC

  • Family Nurse Practitioner
  • Cortez, CO
National Provider Identifier
1457010274
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997214-NP Issued in CO
Practice address
106 E 1St St
Cortez, CO 81321-3749
Phone
(970) 564-7171
NPI assigned
Dec 8, 2021
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997214-NP CO Primary
Primary Care Nurse Practitioner 363LP2300X APN.0997214-NP CO
Family Medicine Physician 207Q00000X APN.0997214-NP CO
Family Medicine Physician 207Q00000X RN.0107385 CO

Addresses

Primary practice location

106 E 1St St
Cortez, CO 81321-3749

Mailing address

106 E 1St St
Cortez, CO 81321-3749
Phone (970) 564-7171

Other identifiers 2

IdentifierTypeStateIssuer
9000202304MedicaidCO
APN.0997214-NPOtherCOCO DORA

Other names 1

  • Ronda Gail Humiston 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
I20220217001834 CO Practitioner - Nurse Practitioner 8628461506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 E 1St St
Cortez, CO 81321-3749
Phone (970) 564-7171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0107385COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weir Hometown Healthcare LLC Family CurrentSince Feb 1, 2023 Accepting new patients

Locations

106 E 1st St
Cortez, CO 81321
Phone (970) 564-7171

Interoperability endpoints

  • Direct secure messaging: ronda@twd-ut.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1457010274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213749",
            "telephone_number": "970-564-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213749",
            "telephone_number": "970-564-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "RONDA",
        "middle_name": "GAIL",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997214-NP",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0997214-NP",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0997214-NP",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "RN.0107385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000202304",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DORA",
            "identifier": "APN.0997214-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDA",
            "last_name": "HUMISTON",
            "middle_name": "GAIL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cortez, CO

Sources for this page

Verify at the official NPI Registry.