Ty Brandon Nichols, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR.0058282 Issued in CO

Practice address

501 Airport Rd
Rifle, CO 81650-8510

Phone

(970) 625-1510

Fax

(970) 625-6486

NPI assigned

May 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Emergency Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand River Hospital District Hospital, Rifle, CO, CCN 061317

Merit-based Incentive Payment System (MIPS)

Final score

94.89 of 100Reported as apm

Quality

86.88

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Loveland, CO
  • NPI 1396496469
  Medicare reassignment NPD
• Grand River Hospital District

  • Rural Health Clinic/Center
  • Rifle, CO
  • NPI 1124074042
  Medicare reassignment NPD
• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Medicare reassignment NPD
• Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood Springs, CO
  • NPI 1356899421
  NPD
• Emergency Professionals of Colorado, PC

  • Emergency Medicine Physician
  • Greeley, CO
  • NPI 1366835415
  NPD
• Grand River Hospital District

  • Health Educator
  • Rifle, CO
  • NPI 1194365544
  NPD
• Grand River Hospital District

  • Critical Access Hospital Clinic/Center
  • Rifle, CO
  • NPI 1225296049
  NPD

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

• Grand River Hospital District

  • Critical Access Hospital
  • Rifle, CO
  • NPI 1649218991
  Care Compare affiliation

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1811334303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1510",
            "fax_number": "970-625-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-1510",
            "fax_number": "970-625-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TY",
        "middle_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0058282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Ludwig Nagey, CRNP
• Mary Nast, RDH
• Joseph Benjamin Netanel-Surek, PHARM.D.
• Next Breath Psychology LLP
• Brooke D Nichols, RDH, BS
• Stephanie Alyson Nick, RDN, CLC
• Heather Rose O'Donnell, PT, DPT
• Obstetrix Medical Group of Colorado, P.C.
• Jorge Antonio Olivas Estebane, RN
• Shannon Orr

• Emergency Medicine Physician in Rifle, CO
• Providers in Rifle, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.