Rocky Mountain Primary Care Clinic
NPI 1720385016ActiveOrganization· Nurse Practitioner, Family· Pueblo, CO
Nurse Practitioner, Family in Pueblo, Colorado, registered in NPPES in February 2011. The authorized official on file is Ashley N. Kirby, FNP-C, Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720385016 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2011 |
| Last updated in NPPES | Mar 8, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 65214 | CO |
| Nurse Practitioner, Family | 363LF0000X | — | CO |
| Nurse Practitioner, Primary Care | 363LP2300X | — | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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