Individual provider Active NPI

Julie M Deters, FNP

  • Family Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1861713075
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-10339 Issued in CO
Practice address
2555 E 13TH St
Suite 220
Loveland, CO 80537-5133
Phone
(970) 669-5432
Fax
(970) 461-6275
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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 NP-10339 CO Primary

Addresses

Primary practice location

2555 E 13TH St
Suite 220
Loveland, CO 80537-5133

Mailing address

3702 S Timberline Rd
BLDG a
Fort Collins, CO 80525-3624
Phone (970) 207-9773

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
I20140501000155 CO Practitioner - Nurse Practitioner 3476786237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Health Care IncGroup PAC ID 7618880709, 56 clinicians

Practice addresses (Care Compare)

1025 Pennock PL
Suite 121
Fort Collins, CO 80524-3250
Phone (970) 495-8980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-10339COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jan 5, 2019 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 5, 2019 Accepting new patients
Poudre Valley Health Care Inc CurrentSince Jan 20, 2022 Accepting new patients
Bender Medical Group Inc Nurse Practitioner CurrentSince Mar 25, 2014 Accepting new patients
Poudre Valley Health Care, Inc CurrentSince Jan 20, 2022 Accepting new patients
Poudre Valley Health Care Inc. Current Accepting new patients
Family Physical Therapy Center, P.C. Past Accepting new patients
Poudre Valley Medical Group, LLC PastSince Apr 28, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1025 Pennock Pl
Ste 121
Fort Collins, CO 80524
Phone (970) 495-8800

313 W Drake Rd
Ste 100
Fort Collins, CO 80526
Phone (970) 225-5028

4601 Corbett Dr
Fort Collins, CO 80528
Phone (970) 207-4800

2315 E Harmony Rd
Ste 200
Fort Collins, CO 80528

1025 Pennock Pl
Fort Collins, CO 80524
Phone (970) 495-8800

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

4674 Snow Mesa Dr
Ste 140
Fort Collins, CO 80528
Phone (970) 225-5000

1025 Pennock Pl
Ste 114
Fort Collins, CO 80524
Phone (970) 495-8800

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
#M1921
Loveland, CO 80538
Phone (970) 624-1566

2500 Rocky Mountain Ave
#F1016J
Loveland, CO 80538
Phone (970) 624-1555

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1861713075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD",
            "address_2": "BLDG A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253624",
            "telephone_number": "970-207-9773",
            "fax_number": "970-207-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST",
            "address_2": "SUITE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375133",
            "telephone_number": "970-669-5432",
            "fax_number": "970-461-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERS",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.