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JUSTIN NEWTON CNP
NPI 1376993311
Nurse Practitioner - Family in Fort Collins, CO

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
88.61/100
CMS Quality Rating
1024 S LEMAY AVE, FORT COLLINS, CO 80524(970) 495-7000(303) 306-7753 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2019, Jun 21, 2016 (2 updates tracked since 2016).

About Justin Newton Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN NEWTON CNP (NPI 1376993311) is an individual family provider in Fort Collins, Colorado, licensed in Colorado (APN.0995163-NP) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Holland, and is a graduate of Toledo Medical College (2016).

NPPES Registry Identity

NPI1376993311
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN NEWTONCredential: CNP
Location Address1024 S LEMAY AVEFort Collins, CO 80524-3929
Mailing AddressPo Box 912215Denver, CO 80291-2215 · (303) 306-7783 · Fax (303) 306-7753
Phone(970) 495-7000
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSToledo Medical CollegeGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration
✔ NPI 1376993311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · APN.0995163-NP✔ Licensed in OH · COA.19252-NP
1024 S LEMAY AVE, Fort Collins, CO 80524
Open in Google Maps ↗

Secondary Practice Location 1

Location 11650 Eber Rd Ste EHolland, OH 43528-9793 · Phone (419) 866-4328 · Fax (419) 866-4319

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Newton Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597051425
PECOS Enrollment IDI20200326000238
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services65 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services64 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
25 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEASHA NOHELANI KUHNEN
Emergency Medicine
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (303) 306-7783
MARGARET ELIZABETH HERRFELDT RD
Dietitian, Registered
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-8205
HEATHER L. FREEMAN
Physician Assistant
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000
NATALIE B. DENKERS L.C.S.W.
Social Worker (Clinical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-8090
MR. DAVID RANDAL HYATT PA-C
Physician Assistant (Medical)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000
DR. DAVID H RICE M.D.
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 484-4757
DR. KAREN B ALDERFER MD
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 484-4757
DR. NATHAN MILLER M.D.
Radiology (Diagnostic Radiology)
1024 S LEMAY AVE
FORT COLLINS, CO 80524
Larimer County (970) 495-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Newton's NPI number?

The NPI number for Justin Newton is 1376993311. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Justin Newton located?

Justin Newton practices at 1024 S Lemay Ave, Fort Collins, CO 80524. The listed phone number is (970) 495-7000.

What is Justin Newton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Newton enrolled in Medicare?

Yes. Justin Newton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Newton accept?

Health plans from CareSource list Justin Newton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Newton was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.