Individual provider Active NPI

John Mark Westfall, M.D.

  • Family Medicine Physician
  • Limon, CO
National Provider Identifier
1790788297
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8071680 Issued in ID
Practice address
820 1St Street
Limon, CO 80828-1120
Phone
(719) 775-2367
Fax
(719) 775-2365
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8071680 ID Primary
Family Medicine Physician 207Q00000X 32250 CO

Addresses

Primary practice location

820 1St Street
Limon, CO 80828-1120

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other identifiers 1

IdentifierTypeStateIssuer
01322502MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070626000377 CO Practitioner - Family Practice 3870492366 Reassigns benefits to 2 organizations
I20260218003514 ID Practitioner - Family Practice 3870492366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma District HospitalGroup PAC ID 6305758830, 23 clinicians
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

1000 W 8TH Ave
Yuma, CO 80759-2641
Phone (970) 848-3869

1000 W 8TH Ave Ydh Prof Comp
Yuma, CO 80759-2641
Phone (970) 848-5405

1000 W 8TH Ave Yuma Clinic
Yuma, CO 80759-2641
Phone (970) 848-3896

325 W Idaho St
Boise, ID 83702-6040
Phone (208) 514-2525

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Hospital & facility affiliations

  • Yuma District Hospital Hospital, Yuma, CO, CCN 061315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32250COMDFamily Medicine Physician
8071680IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Health, Inc. CurrentSince Mar 13, 2026 Accepting new patients
Yuma District Hospital Current Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525

6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055

2275 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 514-2520

Organizations & group practices 4

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 1

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1790788297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 1ST STREET",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "808281120",
            "telephone_number": "719-775-2367",
            "fax_number": "719-775-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "8071680",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01322502",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Limon, CO

Sources for this page

Verify at the official NPI Registry.