| Stacy Erin Concelman, NP-C | |
|
123 Weeminuche, Ignacio, CO 81137 | |
| (970) 563-4581 | |
| (970) 563-0206 |
| Full Name | Stacy Erin Concelman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 123 Weeminuche, Ignacio, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629389549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 171874 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10366 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Ute Indian Tribe | 6800928292 | 11 |
| Entity Name | Southern Ute Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407883309 PECOS PAC ID: 6800928292 Enrollment ID: O20100721000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Erin Concelman, NP-C Po Box 737, Business Office 72, Ignacio, CO 81137-0737 Ph: (970) 563-4581 | Stacy Erin Concelman, NP-C 123 Weeminuche, Ignacio, CO 81137 Ph: (970) 563-4581 |
Nenette Robinson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 Weeminuche Ave, Ignacio, CO 81137 Phone: 970-563-4581 Fax: 970-563-0206 | |
Jeanette S Swayze, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 649 County Road 515, Ignacio, CO 81137 Phone: 970-884-2479 | |
Ms. Diane M Crea, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Weminuche Ave, Ignacio, CO 81137 Phone: 970-563-4581 | |
Mrs. Dixie Ann Melton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Cedar Street, Ignacio, CO 81137 Phone: 907-563-9388 Fax: 970-563-9398 |