Individual provider Active NPI

Elizabeth Ann Walton, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1871918045
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0992220 Issued in CO
Practice address
1136 E Stuart St
Ste 4101
Fort Collins, CO 80525-1173
Phone
(970) 658-0535
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 75068 NE
Family Nurse Practitioner 363LF0000X 111634 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0992220 CO Primary
Family Nurse Practitioner 363LF0000X 99220 CO

Addresses

Primary practice location

1136 E Stuart St
Ste 4101
Fort Collins, CO 80525-1173

Mailing address

PO Box 212
Eaton, CO 80615-0212
Phone (970) 350-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20160407002024 CO Practitioner - Nurse Practitioner 1759513435 Reassigns benefits to 1 organization
I20220920001394 AZ Practitioner - Nurse Practitioner 1759513435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1136 E Stuart St
Suite 4101
Fort Collins, CO 80525-1173
Phone (970) 658-0535

4230 N Wolverine Pass Rd
Apache Junction, AZ 85119-9625
Phone (970) 658-0535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75068NEMDRegistered Nurse
99220COMDFamily Nurse Practitioner
111634NEMDFamily Nurse Practitioner
0992220COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindworks Wellness Psychiatric/Mental Health CurrentSince Oct 30, 2019 Accepting new patients

Locations

1136 E Stuart St
Ste 4101
Fort Collins, CO 80525
Phone (970) 235-0952

Organizations & group practices 1

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1871918045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806150212",
            "telephone_number": "970-350-4606",
            "fax_number": "970-350-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "address_2": "STE 4101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251173",
            "telephone_number": "970-658-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "75068",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111634",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0992220",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "99220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.