Individual provider Active NPI

Irina Pratt

  • Nurse Practitioner
  • Vail, CO
National Provider Identifier
1629609003
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0995070 Issued in CO
Practice address
3827 Lupine Dr
Vail, CO 81657-4886
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Feb 4, 2020
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0995070 CO Primary

Addresses

Primary practice location

3827 Lupine Dr
Vail, CO 81657-4886

Mailing address

3827 Lupine Dr
Vail, CO 81657-4886
Phone (970) 926-6340

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
I20201124000793 CO Practitioner - Nurse Practitioner 3870904881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

50 Buck Creek Rd
Suite 200
Avon, CO 81620-5428
Phone (970) 926-6350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0995070COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Mountain Medical, LLC CurrentSince Sep 6, 2022 Accepting new patients
Colorado Mountain Medical, LLC Family Medicine Current Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Sep 6, 2022 Accepting new patients
Colorado Mountain Medical, PC Family Medicine Past Accepting new patients
Destiny Post Acute Care Services P.C Past Accepting new patients

Locations

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

181 W Meadow Dr
Vail, CO 81657
Phone (970) 479-5157

Interoperability endpoints

  • Direct secure messaging: irinapratt@coloradomo.allscriptsdirect.net

Organizations & group practices 5

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 7

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1629609003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 LUPINE DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574886",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 LUPINE DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816574886",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0995070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.