Colorado Surgical Affiliates, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

COLORADO SURGICAL AFFILIATES, LLC

Practice address

630 E Star CT
Montrose, CO 81401-6702

Phone

(970) 243-3061

NPI assigned

Sep 22, 2025

Organization subpart

Yes

Parent organization

COLORADO SURGICAL AFFILIATES, LLCAs reported in NPPES

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

Authorized official

Name

Jacqueline S Nestle

Title

Revenue Cycle Director

Phone

(970) 244-5945

Specialties & licenses 1

Addresses

Other names 1

• Urological Associates of Western Colorado Doing business as

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

CLIA laboratory certificates

Tax ID family

Co Surgical Affiliates LLC4 organizations share this tax ID, including this one

Part of

Co Surgical Affiliates LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Colorado Surgical Affiliates, LLC

  • Urology Physician
  • Grand Junction, CO
  • NPI 1720744568
  NPD tax ID
• Colorado Surgical Affiliates, LLC

  • Specialist
  • Grand Junction, CO
  • NPI 1790809549
  NPD tax ID
• Colorado Surgical Affiliates, LLC

  • Urology Physician
  • Grand Junction, CO
  • NPI 1942138979
  NPD tax ID

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1699647255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016702",
            "telephone_number": "970-243-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SURGICAL AFFILIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO SURGICAL AFFILIATES, LLC",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "NESTLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "970-244-5945"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urological Associates of Western Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Montrose, CO
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.