Active NPI
Elizabeth Ann Walton, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1871918045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0992220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 75068 | NE | MD | Registered Nurse |
| 99220 | CO | MD | Family Nurse Practitioner |
| 111634 | NE | MD | Family Nurse Practitioner |
| 0992220 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindworks Wellness | Psychiatric/Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.