Cirque Meadow Psychiatry
NPI 1578184230ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Fort Collins, CO
Nurse Practitioner, Psych/Mental Health in Fort Collins, Colorado, registered in NPPES in May 2020. The authorized official on file is Virginia Mack, APRN, Owner.
Overview
| NPI | 1578184230 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2020 |
| Last updated in NPPES | Jul 29, 2020 |
| Certified by provider | Jul 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | 364SP0807X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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