Individual provider Active NPI

James Kuemmerle

  • Clinical Social Worker
  • Sterling, CO
National Provider Identifier
1477897429
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923773 Issued in CO
Practice address
211 W Main St Ste 1
Sterling, CO 80751-3169
Phone
(970) 522-4549
Fax
(970) 522-9544
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09923773 CO Primary

Addresses

Primary practice location

211 W Main St Ste 1
Sterling, CO 80751-3169

Mailing address

211 W Main St Ste 1
Sterling, CO 80751-3169
Phone (970) 522-4549

Other names 1

  • James William Kuemmerle Professional 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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180612001668 CO Practitioner - Clinical Social Worker 0446403422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09923773COMDClinical Social Worker

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1477897429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST STE 1",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513169",
            "telephone_number": "970-522-4549",
            "fax_number": "970-522-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W MAIN ST STE 1",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513169",
            "telephone_number": "970-522-4549",
            "fax_number": "970-522-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEMMERLE",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "KUEMMERLE",
            "middle_name": "WILLIAM",
            "credential": "MSW, LCSW, ACSW, BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.