Elyse L Diewald, FNP-C - Medicare Nurse Practitioner in Laporte, CO

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Elyse L Diewald, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Laporte, Colorado. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Health Physicians Colorado Llc, Select Physical Therapy Holdings Inc and her current practice location is 3817 W County Road 54g, Laporte, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 472-2001.

Elyse L Diewald is licensed to practice in Colorado (license number APN.0997806-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679200497.

Contact Information

Elyse L Diewald, FNP-C
3817 W County Road 54g,
Laporte, CO 80535-9360
(970) 472-2001
Not Available

Map and Direction




Provider's Profile

Full NameElyse L Diewald
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location3817 W County Road 54g, Laporte, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elyse L Diewald graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1679200497
  • Provider Enumeration Date: 08/02/2022
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567832470
  • Enrollment ID: I20230110000613

Medical Identifiers

Medical identifiers for Elyse L Diewald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679200497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN.0997806-NP (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mckee Medical CenterLoveland, COHospital
Banner Fort Collins Medical CenterFort collins, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Health Physicians Colorado Llc8921273038267
Select Physical Therapy Holdings Inc95370764011463

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elyse L Diewald allows following entities to bill medicare on her behalf.
Entity NameBanner Health Physicians Colorado Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073899134
PECOS PAC ID: 8921273038
Enrollment ID: O20111219000237

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elyse L Diewald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elyse L Diewald, FNP-C
3817 W County Road 54g,
Laporte, CO 80535-9360

Ph: (970) 472-2001		Elyse L Diewald, FNP-C
3817 W County Road 54g,
Laporte, CO 80535-9360

Ph: (970) 472-2001

Reviews and Comments


Nurse Practitioner Nurses in Laporte, CO

Thomas Cain, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4539 Moccasin Cir, Laporte, CO 80535
Phone: 970-227-3267    
Karen A Mcgraw, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3817 W County Road 54g, Laporte, CO 80535
Phone: 970-472-2001    Fax: 970-212-9336

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.