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COLLEEN J SPEIDELL FNP-BC
NPI 1639164072
Nurse Practitioner - Family in Prescott, AZ

Active since September 13, 2005Opted out of Medicare · through Apr 1, 2028
1003 DIVISION ST STE 2, PRESCOTT, AZ 86301(928) 777-0700(928) 778-5507 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2020, May 13, 2019, Aug 30, 2018 and 1 more (4 updates tracked since 2016).

About Colleen J Speidell Fnp-bc NPPES

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

COLLEEN J SPEIDELL FNP-BC (NPI 1639164072) is an individual family provider in Prescott, Arizona, licensed in Arizona (RN084306) and active in the NPI registry since September 2005. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639164072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN J SPEIDELLCredential: FNP-BC
Location Address1003 DIVISION ST STE 2Prescott, AZ 86301-1657
Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (928) 759-5987 · Fax (928) 458-2039
Phone(928) 777-0700
Fax(928) 778-5507
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJanuary 31, 20204 updates tracked since enumeration
✔ NPI 1639164072 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
License✔ Licensed in AZ · RN084306
1003 DIVISION ST STE 2, Prescott, AZ 86301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Colleen J Speidell Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Colleen Speidell's NPI number?

The NPI number for Colleen Speidell is 1639164072. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Colleen Speidell located?

Colleen Speidell practices at 1003 Division St Ste 2, Prescott, AZ 86301. The listed phone number is (928) 777-0700.

What is Colleen Speidell's specialty?

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

Is Colleen Speidell enrolled in Medicare?

No. Colleen Speidell has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Colleen Speidell was last updated on January 31, 2020. 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.