ARIANA FORMYDUVAL
NPI 1629900170
Nurse Practitioner - Family in Lakewood, CO
About Ariana Formyduval NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARIANA FORMYDUVAL (NPI 1629900170) is an individual family provider in Lakewood, Colorado, licensed in Colorado (1002121) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ariana Formyduval 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.
Medicare Billing Reassignment
Medicare enrollment records show Ariana Formyduval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, CO 80215
- Reassigned Medicare billing, Colorado enrollment
- 124 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKEWOOD, CO 80215
LAKEWOOD, CO 80215
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 Ariana Formyduval's NPI number?
The NPI number for Ariana Formyduval is 1629900170. It was assigned to this individual provider in the NPPES registry on June 1, 2026.
Where is Ariana Formyduval located?
Ariana Formyduval practices at 12600 W Colfax Ave Ste B200, Lakewood, CO 80215. The listed phone number is (303) 993-1330.
What is Ariana Formyduval's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ariana Formyduval enrolled in Medicare?
Yes. Ariana Formyduval 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.
Which organization bills Medicare for Ariana Formyduval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ariana Formyduval reassigns Medicare benefits to Physician Housecalls LLC (Lakewood, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ariana Formyduval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ariana Formyduval was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ariana Formyduval · NPI 1629900170
Family physician in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since June 1, 2026.
## Identity
- **NPI:** 1629900170 (Entity type: Individual)
- **Enumerated:** June 1, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1002121 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 12600 W COLFAX AVE STE B200, Lakewood, CO 80215-3736
- **Phone:** (303) 993-1330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician Housecalls LLC (NPI 1295789824, Lakewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629900170) · Data from the CMS NPPES public registry.