Frederick Pope Paulsen, ACNP - BC

Key facts

NPI

1831469147

Entity type

Individual (NPI type 1)

Primary specialty

Acute Care Nurse Practitioner 363LA2100X

License

NP-990081 (CO)

Practice address

1401 S Cascade Ave
Montrose, CO 81401-5003

Phone

(603) 724-5983

NPI assigned

Jan 3, 2012

Sex

Male

Sole proprietor

No

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.

• Fred Paulsen Nurse Practitioner · Hotchkiss, CO · NPI 1326905324
  NPD (past) Authorized official
• Rdhealthcare LLC Family Medicine Physician · Loma, CO · NPI 1295164614
  NPD (past)
• Western Slope Geriatrics, LLC Geriatric Medicine (Internal Medicine) Physician · Grand Junction, CO · NPI 1003186230
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2016.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1831469147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020492",
            "telephone_number": "603-724-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S CASCADE AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015003",
            "telephone_number": "603-724-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "FREDERICK",
        "middle_name": "POPE",
        "credential": "ACNP - BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "NP-990081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Montrose, CO · Acute Care Nurse Practitioner in Colorado