NPIMap

Individual provider Active NPI

Devin Sponseller

  • Vascular Surgery Physician
  • Greeley, CO
National Provider Identifier
1609237049
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
DR.0071442 Issued in CO
Practice address
1800 15TH St Ste 220
Greeley, CO 80631-4563
Phone
(970) 810-5612
NPI assigned
Mar 13, 2016
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X DR.0071442 CO Primary

Addresses

Primary practice location

1800 15TH St Ste 220
Greeley, CO 80631-4563

Mailing address

8880 Longs Peak Cir
Windsor, CO 80550-2576
Phone (740) 815-5181

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
I20231009002656 CO Practitioner - Vascular Surgery 3173926557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 15TH St
Suite 200
Greeley, CO 80631-4563
Phone (970) 810-8216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0071442COMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2023 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2023 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1800 15th St
Ste 200
Greeley, CO 80631
Phone (970) 348-0020

1800 15th St
Ste 220
Greeley, CO 80631
Phone (970) 353-1335

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

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

Organizations & group practices 4

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1609237049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 LONGS PEAK CIR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805502576",
            "telephone_number": "740-815-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 15TH ST STE 220",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314563",
            "telephone_number": "970-810-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONSELLER",
        "first_name": "DEVIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-13",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CO",
            "license": "DR.0071442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.