Rebecca J Nickell (NPI# 1477516045, PAC ID# 7214962380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1477516045 |
PAC ID by PECOS | 7214962380 |
Professional Enrollment ID | I20050928000642 |
Full Name | Rebecca J Nickell |
Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
Address |
8155 Piney River Ave Suite 100 Littleton CO 80125-8729 |
Phone Number | 3032653370 |
Gender | F |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9638208549 |
Number of Group Practice Members | 1070 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
060132 |
Address | Phone | Organization |
---|---|---|
206 W County Line Rd, 300 Uchealth Medical Group, Highlands Ranch, CO 80129-2321 | 3037955980 | POUDRE VALLEY MEDICAL GROUP LLC |
8155 Piney River Ave, Suite 100, Littleton, CO 80125-8729 | 3032653370 | POUDRE VALLEY MEDICAL GROUP LLC |
Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
Physicians | 1041 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Henry Monkowski | Infectious Disease | Poudre Valley Medical Group LLC | 1625 Foxtrail Dr, Suite 200, Loveland, CO 80538-9089 |
Nataliia A Baker | Family Medicine | Poudre Valley Medical Group LLC | 1455 Main St, Suite 100, Windsor, CO 80550-5559 |
Stephanie Pivik Mager | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1715 61st Ave, Greeley, CO 80634-7989 |
Kerri Alicia Madden | Physician Assistant | Poudre Valley Medical Group LLC | 4404 Barranca Ln, Unit 101, Castle Rock, CO 80104-7432 |
Alicia Vandersluis | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 6705 Rangewood Dr, Colorado Springs, CO 80918-7300 |
Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Mark Oscar Robinson | Family Medicine | Poudre Valley Medical Group LLC | 15854 Jackson Creek Pkwy, Unit 120, Monument, CO 80132-8663 |
Kimberly Atiyeh | Otolaryngology | Poudre Valley Medical Group LLC | 16222 W Us Hwy 24 210, Uchmg Woodland Park Outreach, Woodland Park, CO 80863-8763 |
Adam Lee Kilkenney | Family Medicine | Poudre Valley Medical Group LLC | 5265 N Academy Blvd, Suite 1800, Colorado Springs, CO 80918-4061 |
Marlesa Renee Moore | Obstetrics/gynecology | Poudre Valley Medical Group LLC | 1015 E Pikes Peak Ave, Suite 100, Colorado Springs, CO 80903-5700 |
Street Address |
8155 PINEY RIVER AVE SUITE 100 |
City | LITTLETON |
State | CO |
Zip | 80125-8729 |
Name | Specialty | Organization | Address |
---|---|---|---|
Erin Erickson | Occupational Therapy | Uchealth Community Services | 8155 Piney River Ave, Suite 100, Littleton, CO 80125-8725 |
Jonathan J Hiera | Physical Therapy | Uchealth Community Services | 8155 Piney River Ave, Suite 100, Littleton, CO 80125-8725 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol H Paine | Clinical Social Worker | 7093 Arroyo Run, Littleton, CO 80125-9201 |
City | LITTLETON |
Zip Code | 80125 |
Specialty | FAMILY MEDICINE |
City + Specialty | LITTLETON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rebecca J Nickell.
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.