Half Moon Health and Wellness, Ltd.
NPI 1174398515ActiveOrganization· Nurse Practitioner, Family· Boulder, CO
Nurse Practitioner, Family in Boulder, Colorado, registered in NPPES in November 2023. The authorized official on file is Kristina R. Gutzman, FNP-C, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174398515 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2023 |
| Last updated in NPPES | Jul 5, 2025 |
| Certified by provider | Jul 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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