Colorado Primary Care Clinic Inc
NPI 1942525902ActiveOrganization· Nurse Practitioner· Aurora, CO
Nurse Practitioner in Aurora, Colorado, registered in NPPES in April 2010. The authorized official on file is Dawn Ann Fetzko, NURSE PRACTITIONER, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942525902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2010 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 363L00000X | 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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