NPIMap

Organization Active NPI

Pathways Hospice

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Collins, CO
National Provider Identifier
1922702125
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
PATHWAYS HOSPICE
Practice address
317 Carpenter Rd
Fort Collins, CO 80525-4248
Phone
(970) 821-8890
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAYS HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Tim J Bowen
Title
Ceo
Phone
(303) 398-6203

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X
Gerontology Nurse Practitioner 363LG0600X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X Primary

Addresses

Primary practice location

317 Carpenter Rd
Fort Collins, CO 80525-4248

Mailing address

305 Carpenter Rd
Fort Collins, CO 80525-4248
Phone (970) 663-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060307000795 CO Part B Supplier - Clinic/Group Practice 7911914577 Receives reassigned benefits from 107 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Collins, CO; Greeley, CO

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pathways Hospice10 organizations share this tax ID, including this one
Part of
Pathways Hospice

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1922702125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-663-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CARPENTER RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254248",
            "telephone_number": "970-821-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS HOSPICE",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-398-6203"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.