Individual provider Active NPI

Rachelle Ann Maker, FNP

  • Family Nurse Practitioner
  • Sterling, CO
National Provider Identifier
1609007558
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-10061 Issued in CO
Practice address
615 Fairhurst St
Sterling, CO 80751-4523
Phone
(970) 521-3223
NPI assigned
Jul 27, 2009
Last updated
Apr 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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 NP-10061 CO Primary

Addresses

Primary practice location

615 Fairhurst St
Sterling, CO 80751-4523

Mailing address

489 California St
Sterling, CO 80751-2312
Phone (970) 522-3532

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000070 CO Practitioner - Nurse Practitioner 3870649247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Colorado Family Medicine Associates PCGroup PAC ID 2062404031, 5 clinicians

Practice addresses (Care Compare)

1405 S 8TH Ave
Suite 103
Sterling, CO 80751-4560
Phone (970) 740-3304

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-10061COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Colorado Family Medicine Associates, P.C. CurrentSince Oct 1, 2013 Accepting new patients

Locations

1405 S 8th Ave
Ste 103
Sterling, CO 80751
Phone (970) 522-3304

1414 S 3rd Ave
Sterling, CO 80751
Phone (970) 522-5711

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1609007558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 CALIFORNIA ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512312",
            "telephone_number": "970-522-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FAIRHURST ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514523",
            "telephone_number": "970-521-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKER",
        "first_name": "RACHELLE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

Verify at the official NPI Registry.