Individual provider Active NPI

Laura A Villanueva, M.D.

  • Family Medicine Physician
  • Gunnison, CO
National Provider Identifier
1477847010
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55781 Issued in CO
Practice address
130 E Virginia Ave
Gunnison, CO 81230-2246
Phone
(970) 641-0211
Fax
(970) 641-1268
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55781 CO Primary

Addresses

Primary practice location

130 E Virginia Ave
Gunnison, CO 81230-2246

Mailing address

130 E Virginia Ave
Gunnison, CO 81230-2246
Phone (970) 641-0211

Other identifiers 1

IdentifierTypeStateIssuer
95300040MedicaidCO

Other names 1

  • Laura A Holder 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000284 CO Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 2668609017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

130 E Virginia Ave
Gunnison, CO 81230-2246
Phone (970) 641-0211

214 6TH St
Crested Butte, CO 81224-5519

405 Elk Ave
CB Derm Clinic
Crested Butte, CO 81224-5519
Phone (970) 641-3927

711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 641-1456

Hospital & facility affiliations

  • Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55781COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Nov 28, 2015 Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

130 E Virginia Ave
Gunnison, CO 81230
Phone (303) 641-0211

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

Interoperability endpoints

  • Direct secure messaging: laura.villanueva.1@11629.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1477847010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E VIRGINIA AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302246",
            "telephone_number": "970-641-0211",
            "fax_number": "970-641-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E VIRGINIA AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302246",
            "telephone_number": "970-641-0211",
            "fax_number": "970-641-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "55781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95300040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HOLDER",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.