Individual provider Active NPI

Evie Plummer, DPM

  • Podiatrist
  • Fort Collins, CO
National Provider Identifier
1588989479
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
732 Issued in CO
Practice address
1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103
Phone
(970) 416-9009
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 732 CO Primary

Addresses

Primary practice location

1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103

Mailing address

1927 Wilmington Dr Unit 102
Fort Collins, CO 80528-6103
Phone (970) 416-9009

Other practice location 1

1220 W Ash St Unit A
Windsor, CO 80550-4611
Phone (970) 416-9009

Other identifiers 1

IdentifierTypeStateIssuer
732OtherCOCOLORADO MEDICAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030000027 CO Practitioner - Podiatry 7618102641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Save Your Sole Foot and Ankle Specialists PCGroup PAC ID 8123910288, 3 clinicians

Practice addresses (Care Compare)

1927 Wilmington Dr
Unit 102
Fort Collins, CO 80528-6103
Phone (970) 416-9009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue52
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
732COMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Save Your Sole Foot and Ankle Specialists PC Podiatrist CurrentSince Aug 15, 2013 Accepting new patients
Save Your Sole Foot and Ankle Specialists PC Podiatrist CurrentSince Jun 22, 2021 Accepting new patients

Locations

1927 Wilmington Dr
Unit 102
Fort Collins, CO 80528
Phone (970) 416-9009

1220 W Ash St
Unit A
Windsor, CO 80550
Phone (970) 416-9009

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1588989479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286103",
            "telephone_number": "970-416-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WILMINGTON DR UNIT 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286103",
            "telephone_number": "970-416-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 W Ash St Unit A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805504611",
            "country_code": "US",
            "telephone_number": "970-416-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "EVIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "732",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.