Organization Active NPI

Sherry Lynn Niccoli MD PC

Doing business as Dr. Niccoli, Sherry L Niccoli MD, Dr. Sherry, Sherry L Niccoli MD PC FACOG

  • Obstetrics & Gynecology Physician
  • Gunnison, CO
National Provider Identifier
1972787547
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
42817 Issued in CO
Legal business name
SHERRY LYNN NICCOLI MD PC
Doing business as
Dr. Niccoli, Sherry L Niccoli MD, Dr. Sherry, Sherry L Niccoli MD PC FACOG
Sherry L Niccoli MD Dr Nicoli MD Dr Sherry Nicci MD
Practice address
234 N Main St Ste 2C
Gunnison, CO 81230-2434
Phone
(970) 641-2885
Fax
(970) 641-2898
NPI assigned
Dec 19, 2007
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Sherry Niccoli, MDNPI 1235114018
Title
Ceo
Phone
(970) 641-2885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 42817 CO Primary

Addresses

Primary practice location

234 N Main St Ste 2C
Gunnison, CO 81230-2434

Mailing address

PO Box 1107
Gunnison, CO 81230-1107
Phone (970) 641-2885

Other identifiers 1

IdentifierTypeStateIssuer
73353213MedicaidCO

Other names 2

  • Dr. Niccoli, Sherry L Niccoli MD, Dr. Sherry, Sherry L Niccoli MD PC FACOG Doing business as
  • Sherry L Niccoli MD Dr Nicoli MD Dr Sherry Nicci MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050108000098 CO Part B Supplier - Clinic/Group Practice 4587612395 Receives reassigned benefits from 1 practitioner
Practice locations: Gunnison, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1041579Sherry L Niccoli MD PC234 N Main St #2C, Gunnison, CO 81230Provider-performed microscopyJun 6, 2027

National Provider Directory

National Provider Directory

Locations

234 N Main St
Ste 2C
Gunnison, CO 81230
Phone (970) 641-2885

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1972787547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812301107",
            "telephone_number": "970-641-2885",
            "fax_number": "970-641-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N MAIN ST STE 2C",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302434",
            "telephone_number": "970-641-2885",
            "fax_number": "970-641-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY LYNN NICCOLI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "NICCOLI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-641-2885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73353213",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Niccoli, Sherry L Niccoli MD, Dr. Sherry, Sherry L Niccoli MD PC FACOG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sherry L Niccoli MD Dr Nicoli MD Dr Sherry Nicci MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.