Individual provider Active NPI

Victoria O'Daniel, NP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1821892803
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TEMP56422 Issued in WY
Practice address
2960 Skimmerhorn St
Fort Collins, CO 80526-6286
Phone
(720) 838-0071
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TEMP56422 WY Primary

Addresses

Primary practice location

2960 Skimmerhorn St
Fort Collins, CO 80526-6286

Mailing address

2960 Skimmerhorn St
Fort Collins, CO 80526-6286
Phone (720) 838-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250731003929 WY Practitioner - Nurse Practitioner 0749798882 Reassigns benefits to 1 organization
I20260210000130 CO Practitioner - Nurse Practitioner 0749798882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians
Cheyenne Urological P CGroup PAC ID 1951293273, 6 clinicians

Practice addresses (Care Compare)

1900 Boise Ave
Suite 410
Loveland, CO 80538-5004
Phone (970) 820-2610

2301 House Ave
Suite 502
Cheyenne, WY 82001-3179
Phone (307) 635-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TEMP56422WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Mar 15, 2026 Accepting new patients
Cheyenne Urological PC CurrentSince May 24, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Mar 15, 2026 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1900 Boise Ave
Ste 410
Loveland, CO 80538
Phone (970) 667-2009

2301 House Ave
Ste 502
Cheyenne, WY 82001
Phone (307) 635-4131

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70750

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.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1821892803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266286",
            "telephone_number": "720-838-0071",
            "fax_number": "720-838-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266286",
            "telephone_number": "720-838-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "TEMP56422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.