Nicole Stanley (NPI# 1588126957, PAC ID# 5092041699) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1588126957 |
| PAC ID by PECOS | 5092041699 |
| Professional Enrollment ID | I20190719000048 |
| Full Name | Nicole Stanley |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Address |
2020 N 12th St Grand Valley Primary Care Grand Junction CO 81501-2914 |
| Phone Number | 9702632600 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052612785 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 | 9702632600 | COMMUNITY MEDICAL GROUP LLC |
| 603 28, Grand Junction, CO 81506-6019 | 9702632600 | COMMUNITY MEDICAL GROUP LLC |
| Organization Legal Name | COMMUNITY MEDICAL GROUP LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Magrath Fulmer | Family Medicine | Community Medical Group LLC | 551 Kokopelli Blvd, Fruita, CO 81521-6305 |
| Travis Michael Averitt | Family Medicine | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Jennifer June Crowe | Nurse Practitioner | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Heather Tobin | Nurse Practitioner | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Ryan Goodman | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Annette Lynn Johnson | Nurse Practitioner | Community Medical Group LLC | 1060 Orchard Ave N, Community Care of The Grand Valley, Grand Junction, CO 81501-2997 |
| David Johansen | Internal Medicine | Community Medical Group LLC | 607 28, Grand Junction, CO 81506-6018 |
| Katelyn Joy Weaver | Nurse Practitioner | Community Medical Group LLC | 2373 G Rd, Suite 160, Grand Junction, CO 81505-1003 |
| Morgan Irion | Family Medicine | Community Medical Group LLC | 603 28, Grand Junction, CO 81506-6019 |
| Kimberly Marie Hoyt | Physician Assistant | Community Medical Group LLC | 1060 Orchard Ave, Unit O, Grand Junction, CO 81501-2997 |
| Street Address |
2020 N 12TH ST GRAND VALLEY PRIMARY CARE |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81501-2914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Michael Averitt | Family Medicine | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Julie Marie Deutsch | Nurse Practitioner | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Yumi E Lee | Infectious Disease | Community Medical Group LLC | 2020 N 12th St, Grand Valley Infectious Disease, Grand Junction, CO 81501-2914 |
| Serena L Smith | Family Medicine | Community Medical Group LLC | 2020 N 12th St, Grand Valley Primary Care, Grand Junction, CO 81501-2914 |
| Barry King | Obstetrics/gynecology | Colorado West Healthcare System | 2020 N 12th St, Grand Junction, CO 81501-2980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Rosa Louise Brey Gardner | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Find all physicians in zip 81501 | |||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRAND JUNCTION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole Stanley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.