NPIMap

Individual provider Active NPI

Nathan E Bedosky, P.A.-C

  • Medical Physician Assistant
  • Greeley, CO
National Provider Identifier
1760404693
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0003466 Issued in CO
Practice address
6801 W 20TH St Unit 101
Attn: Sue,Credentialing
Greeley, CO 80634-9640
Phone
(970) 378-8000
Fax
(970) 378-8088
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3279 AZ
Medical Physician Assistant 363AM0700X PA0003466 CO Primary

Addresses

Primary practice location

6801 W 20TH St Unit 101
Attn: Sue,Credentialing
Greeley, CO 80634-9640

Mailing address

6801 W 20TH St Unit 101
Attn: Sue,Credentialing
Greeley, CO 80634-9640
Phone (970) 378-8000

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
I20120821001066 CO Practitioner - Physician Assistant 3870510852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

11083 Colorado Blvd
Firestone, CO 80504-5873
Phone (303) 833-8880

1700 N Marion St
Denver, CO 80218-1121
Phone (303) 860-7770

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

221 E 29TH St
Loveland, CO 80538-2746

2450 S Peoria
Aurora, CO 80014-5475

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

Hospital & facility affiliations

  • Bayada Home Health Care Inc Home health agency, Loveland, CO, CCN 067506
  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3279AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 23, 2019 Accepting new patients
Deseret Family Practice, LTD. Past Accepting new patients

Locations

2450 S Peoria St
Ste 245
Aurora, CO 80014
Phone (303) 752-7732

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2500 Rocky Mountain Ave
Ste 2200
Loveland, CO 80538
Phone (970) 203-7250

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1760404693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "address_2": "ATTN: SUE,CREDENTIALING",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "address_2": "ATTN: SUE,CREDENTIALING",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOSKY",
        "first_name": "NATHAN",
        "middle_name": "E",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3279",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0003466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.