Individual provider Active NPI

Frederick Pope Paulsen, ACNP - BC

  • Acute Care Nurse Practitioner
  • Montrose, CO
National Provider Identifier
1831469147
Registry record updated Jul 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP-990081 Issued in CO
Practice address
1401 S Cascade Ave
Montrose, CO 81401-5003
Phone
(603) 724-5983
NPI assigned
Jan 3, 2012
Last updated
Jul 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP-990081 CO Primary

Addresses

Primary practice location

1401 S Cascade Ave
Montrose, CO 81401-5003

Mailing address

PO Box 492
Glenwood Springs, CO 81602-0492
Phone (603) 724-5983

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304000981 CO Practitioner - Nurse Practitioner 9638309008 Practice locations: Hotchkiss, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP-990081COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Slope Geriatrics, LLC Past Accepting new patients
Rdhealthcare LLC PastSince Dec 3, 2013 Accepting new patients
Fred Paulsen Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.