Benjamin Martinez-Andujo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

108936 Issued in CO

Practice address

190 S. Main St.
Keenesburg, CO 80643-0559

Phone

(303) 732-4268

Fax

(303) 732-9288

NPI assigned

Jul 20, 2006

Last updated

Oct 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keene ClinicGroup PAC ID 9638145196, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Complete Home Health Care LLC Home health agency, Longmont, CO, CCN 067415
• Colorado Plains Medical Center Home Care Home health agency, Fort Morgan, CO, CCN 067204
• Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Keene Clinic

  • Primary Care Clinic/Center
  • Keenesburg, CO
  • NPI 1205016136
  Medicare reassignment Care Compare group NPD Authorized official

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

• Brighton Community Hospital Association

  • General Acute Care Hospital
  • Brighton, CO
  • NPI 1629071758
  Care Compare affiliation
• Colorado in-Home Partner-I, LLC

  dba Colorado Plains Medical Center Home Care

  • Home Health Agency
  • Fort Morgan, CO
  • NPI 1417494360
  Care Compare affiliation
• Complete Home Health Care LLC

  • Home Health Agency
  • Longmont, CO
  • NPI 1497748024
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1952321150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806430559",
            "telephone_number": "303-732-4268",
            "fax_number": "303-732-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S. MAIN ST.",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806430559",
            "telephone_number": "303-732-4268",
            "fax_number": "303-732-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-ANDUJO",
        "first_name": "BENJAMIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "108936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston at Keenesburg, LLC
• Nora Kathryn Keane, FNP-BC
• Keene Clinic
• Love Never Fails LLC
• Madison Senior Living Management LLC (The Aladdin at Keenesburg)
• Angela S Riemer, LPCC
• Southeast Weld Fire Protection District
• Southeast Weld Fire Protection District
• Margaret Spahn
• Amanda Stolz, LMT

• Family Nurse Practitioner in Keenesburg, CO
• Providers in Keenesburg, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.

Verify at the official NPI Registry.