Individual provider Active NPI

Stacy Williams, R.N.

  • Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1972954758
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0992571-NP Issued in CO
Practice address
1600 Specht Point
Suite 127
Fort Collins, CO 80525
Phone
(970) 493-7733
Fax
(970) 493-8745
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0992571-NP CO Primary

Addresses

Primary practice location

1600 Specht Point
Suite 127
Fort Collins, CO 80525

Mailing address

1600 Specht Point
Suite 127
Fort Collins, CO 80525
Phone (970) 493-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170117000507 CO Practitioner - Nurse Practitioner 4183906720 Reassigns benefits to 1 organization
I20231030003792 DC Practitioner - Nurse Practitioner 4183906720 Reassigns benefits to 1 organization
I20231108003755 VA Practitioner - Nurse Practitioner 4183906720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Clinic PCGroup PAC ID 7315914405, 18 clinicians

Practice addresses (Care Compare)

2988 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 493-7733

3351 Eastbrook Dr
Suite 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733

8229 W 20TH St
Greeley, CO 80634-3040
Phone (970) 493-7733

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0992571-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Virginia, Inc CurrentSince Aug 16, 2023 Accepting new patients

Locations

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

Organizations & group practices 2

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1972954758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SPECHT POINT",
            "address_2": "SUITE 127",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SPECHT POINT",
            "address_2": "SUITE 127",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STACY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0992571-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.