NPIMap

Individual provider Active NPI

Mikal L Pillatzke, FNP

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1497231609
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993966 Issued in CO
Practice address
1801 16TH St
Greeley, CO 80631
Phone
(970) 810-3894
Fax
(970) 810-3897
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0993966 CO Primary

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631

Mailing address

1801 16TH St
Greeley, CO 80631
Phone (970) 810-3894

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
I20200707001668 CO Practitioner - Nurse Practitioner 8123441342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0993966COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 29, 2020 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 29, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Sep 1, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Sep 1, 2024 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

4700 Lady Moon Dr
Ste C1
Fort Collins, CO 80528
Phone (970) 821-4500

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

7780 S Broadway
Ste 380
Littleton, CO 80122
Phone (303) 734-2090

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7750 S Broadway
Ste 100
Littleton, CO 80122
Phone (303) 734-2090

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

Organizations & group practices 8

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1497231609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-3894",
            "fax_number": "970-810-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLATZKE",
        "first_name": "MIKAL",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.