NPIMap

Individual provider Active NPI

Daniel Eugene Edmondson, MD

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1457813636
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0065522 Issued in CO
Practice address
1106 E Prospect Rd Ste 100
Fort Collins, CO 80525-5304
Phone
(970) 297-6110
Fax
(970) 495-7425
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0065522 CO Primary
Gastroenterology Physician 207RG0100X DR.0065522 CO

Addresses

Primary practice location

1106 E Prospect Rd Ste 100
Fort Collins, CO 80525-5304

Mailing address

1106 E Prospect Rd Ste 100
Fort Collins, CO 80525-5304
Phone (970) 297-6110

Other practice location 1

1000 W 8th Ave
Yuma, CO 80759-2641
Phone (970) 848-5405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810002571 CO Practitioner - Family PracticePractitioner - Gastroenterology 9931433398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Gastroenterology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma District HospitalGroup PAC ID 6305758830, shared by 6 NPIs, 23 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1000 W 8TH Ave Yuma Clinic
Yuma, CO 80759-2641
Phone (970) 848-3896

1106 E Prospect Rd
Building B Suite 100
Fort Collins, CO 80525-5304
Phone (970) 495-7410

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0065522COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma District Hospital CurrentSince Jun 1, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 23, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Mar 23, 2026 Accepting new patients
Yuma District Hospital CurrentSince Jun 1, 2023 Accepting new patients
Yuma District Hospital Past Accepting new patients
Yuma District Hospital Past Accepting new patients

Locations

82 Main Ave
Akron, CO 80720
Phone (970) 345-6336

1106 E Prospect Rd
Bldg B
Fort Collins, CO 80525
Phone (970) 495-7410

1106 E Prospect Rd
Ste 100
Fort Collins, CO 80525
Phone (970) 224-3636

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

1000 W 8th Ave
#2
Yuma, CO 80759

1000 W 8th Ave
#C
Yuma, CO 80759
Phone (970) 848-5405

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1000 W 8th Ave
Ste 1
Yuma, CO 80759

Organizations & group practices 6

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1457813636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E PROSPECT RD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304",
            "telephone_number": "970-297-6110",
            "fax_number": "970-495-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E PROSPECT RD STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304",
            "telephone_number": "970-297-6110",
            "fax_number": "970-495-7425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "CO",
            "postal_code": "807592641",
            "country_code": "US",
            "telephone_number": "970-848-5405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "DANIEL",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0065522",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0065522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.