Provider Type Icon

NICOLE MARIE HANNON ROBERSON MD NPI 1558330266


NPI Information

NPI: 1558330266
Provider Name: NICOLE MARIE HANNON ROBERSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1107 S LEMAY AVENUE
SUITE 300
FORT COLLINS, CO
ZIP 80524
Phone: (970) 493-7442
Get Directions

Nicole Marie Hannon Roberson, MD is an obstetrics gynecology in Fort Collins, CO with 23 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Nicole Marie Hannon Roberson, MD NPI is 1558330266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1107 S LEMAY AVENUE
SUITE 300
FORT COLLINS, CO
ZIP 80524-955
Phone: (970) 493-7442
Fax: (970) 493-7442

The NPI 1558330266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)

The enumeration date for this NPI number is 3/15/2006 and was last updated on 3/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology47447COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111485755OTHERINDIANACAQH NUMBER
29397429OTHERINDIANAPHCS PID NUMBER
3000000372082OTHERINDIANAANTHEM PROVIDER NUMBER
4200528800MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.