Organization Active NPI

Greeley Endoscopy Center, LLC

Doing business as Northern Colorado Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Greeley, CO
National Provider Identifier
1679134795
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GREELEY ENDOSCOPY CENTER, LLC
Doing business as
Northern Colorado Endoscopy Center
Practice address
8227 W 20TH St
Greeley, CO 80634-3039
Phone
(970) 420-8863
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Karissa Hall
Title
Administrator
Phone
(970) 573-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8227 W 20TH St
Greeley, CO 80634-3039

Mailing address

8227 W 20TH St
Greeley, CO 80634-3039
Phone (970) 573-7555

Other names 1

  • Northern Colorado Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414000762 CO Part B Supplier - Ambulatory Surgical Center 9133559271 Practice locations: Greeley, CO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Greeley Endoscopy CenterCCN 06C0001180
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2173390Greeley Endoscopy Center, LLC8227 W 20TH St, Greeley, CO 80634Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

8227 W 20th St
Greeley, CO 80634
Phone (970) 420-8863

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1679134795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343039",
            "telephone_number": "970-573-7555",
            "fax_number": "970-744-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 W 20TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343039",
            "telephone_number": "970-420-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-573-7555"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Colorado Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.