Active NPI
Greeley Endoscopy Center, LLC
Doing business as Northern Colorado Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Greeley, CO
National Provider Identifier
1679134795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2173390 | Greeley Endoscopy Center, LLC | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Certified Registered Nurse Anesthetist
- Loveland, CO
- NPI 1063551018
-
- Certified Registered Nurse Anesthetist
- Loveland, CO
- NPI 1932637782
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
- Greeley Assisted Living, LLC (Garden Square of Greeley)
- Greeley Dental and Orthodontics PLLC
- Greeley Dental Care GPS PLLC (Greeley Dental Care)
- Greeley Dental, Professional LLC
- Greeley Dental, Professional LLC (Comfort Dental Greeley)
- Greeley Eye Doctors
- Greeley Eye Doctors
- Greeley Family Counseling
- Greeley Family Vision
- Greeley Hearing Centers Inc
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.