Abbey Prudhomme Seufer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2137 Issued in CO

Practice address

4803 Innovation Dr Ste 2
Fort Collins, CO 80525-7308

Phone

(970) 566-3505

Fax

(877) 819-1323

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Abbey Nicole Prudhomme Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

72.85 of 100Reported as group

Quality

66.46

Improvement activities

40

Cost

71.01

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Fort Collins Women'S Clinic, PC

  • Obstetrics & Gynecology Physician
  • Fort Collins, CO
  • NPI 1275591281
  Medicare reassignment
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1457328031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "970-566-3505",
            "fax_number": "877-819-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 INNOVATION DR STE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257308",
            "telephone_number": "970-566-3505",
            "fax_number": "877-819-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEUFER",
        "first_name": "ABBEY",
        "middle_name": "PRUDHOMME",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-12-05",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "P00621767",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18231276",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "PRUDHOMME",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Alaire Serell, P.A.-C.,M.S.
• Shellly Serfoss
• Elizabeth Kay Serniak, MD
• Monica T Serrano Toy, MD
• Lillian Margaret Sessions, DMD
• Seven Dimensions Behavioral Health, LLC
• Janet D Severance
• Carissa M Seward
• Jennifer Sewell, RN
• Michael Sewell, LPCC

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.