Individual provider Active NPI

Lauren D Melancon, NP

  • Nurse Practitioner
  • Fort Morgan, CO
National Provider Identifier
1861740276
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
06887 Issued in LA
Practice address
1000 Lincoln St
Suite 101
Fort Morgan, CO 80701-3290
Phone
(970) 542-4390
Fax
(970) 867-4913
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 06887 LA Primary

Addresses

Primary practice location

1000 Lincoln St
Suite 101
Fort Morgan, CO 80701-3290

Mailing address

1000 Lincoln St
Suite 101
Fort Morgan, CO 80701-3290
Phone (970) 542-4390

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
I20121026000646 CO Practitioner - Nurse Practitioner 9133379167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Corners OB/GYNGroup PAC ID 7416946629, 12 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 105
Durango, CO 81301-7311
Phone (970) 382-8800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06887LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Plains Physician Practices LLC Nurse Practitioner CurrentSince Sep 6, 2012 Accepting new patients

Locations

1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390

220 E Beaver Ave
Fort Morgan, CO 80701
Phone (970) 458-5216

Interoperability endpoints

  • Direct secure messaging: lauren.melancon.1@22261.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1861740276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "address_2": "SUITE 101",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013290",
            "telephone_number": "970-542-4390",
            "fax_number": "970-867-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "address_2": "SUITE 101",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013290",
            "telephone_number": "970-542-4390",
            "fax_number": "970-867-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "LAUREN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "06887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.