Individual provider Active NPI

James Logan Machin, FNP-C

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1912580549
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996393-NP Issued in CO
Practice address
1900 Wardenburg Drive
Boulder, CO 80309-7413
Phone
(303) 492-5101
Fax
(303) 492-6861
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 APN.0996393-NP CO Primary

Addresses

Primary practice location

1900 Wardenburg Drive
Boulder, CO 80309-7413

Mailing address

1900 Wardenburg Drive Boulder
Boulder, CO 80309-0001
Phone (303) 492-5101

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
I20210802000504 CO Practitioner - Nurse Practitioner 5991109704 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nerve and Joint Institute PC Family CurrentSince Oct 24, 2024 Accepting new patients

Locations

3553 Clydesdale Pkwy
Loveland, CO 80538
Phone (720) 726-4523

9351 Grant St
Ste 100
Thornton, CO 80229
Phone (303) 280-3893

8510 Bryant St
Ste 140
Westminster, CO 80031
Phone (720) 531-3976

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1912580549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WARDENBURG DRIVE BOULDER",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803090001",
            "telephone_number": "303-492-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WARDENBURG DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803097413",
            "telephone_number": "303-492-5101",
            "fax_number": "303-492-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIN",
        "first_name": "JAMES",
        "middle_name": "LOGAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996393-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.