Colorado Surgical Affiliates, LLC
NPI 1790809549ActiveOrganization· Specialist· Grand Junction, CO
Specialist in Grand Junction, Colorado, registered in NPPES in March 2007. The authorized official on file is Jacqueline S. Nestle, Revenue Cycle Director. Enrolled in Medicare as dme supplier - physician - urology.
Overview
| NPI | 1790809549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 539499 | 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 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 DME Supplier - Physician - Urology (CO) |
|---|
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