NPIMap

Organization Active NPI

Colorado Surgical Affiliates, LLC

Doing business as Urological Associates of Western Colorado

  • Specialist
  • Grand Junction, CO
National Provider Identifier
1790809549
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
539499 Issued in CO
Legal business name
COLORADO SURGICAL AFFILIATES, LLC
Doing business as
Urological Associates of Western Colorado
Practice address
2373 G Rd Ste 200
Grand Junction, CO 81505-1006
Phone
(970) 243-3061
Fax
(970) 245-8369
NPI assigned
Mar 19, 2007
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 539499 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 200
Grand Junction, CO 81505-1006

Mailing address

2373 G Rd
Grand Junction, CO 81505-1002
Phone (970) 243-3061

Other names 1

  • Urological Associates of Western Colorado Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211025000885 CO DME Supplier - Physician - Urology 5496034068 Practice locations: Grand Junction, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Co Surgical Affiliates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

790 Wellington Ave
#202
Grand Junction, CO 81501

790 Wellington Ave
Ste 202
Grand Junction, CO 81501
Phone (970) 241-4444

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1790809549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 G RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051002",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-3061",
            "fax_number": "970-245-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SURGICAL AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "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": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "539499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Urological Associates of Western Colorado",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urological Associates of Western Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.