BARBARA ANN HAMILTON NP-C
NPI 1659567741
Nurse Practitioner in Durango, CO

Active since September 21, 2007PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
175 MERCADO ST STE 131, DURANGO, CO 81301(970) 382-2000(970) 382-2069 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, May 10, 2017 (2 updates tracked since 2017).

About Barbara Ann Hamilton Np-c NPPES

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

BARBARA ANN HAMILTON NP-C (NPI 1659567741) is an individual nurse practitioner in Durango, Colorado, licensed in Colorado (APN.0990037-NP) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1659567741
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBARBARA ANN HAMILTONCredential: NP-C
Location Address175 MERCADO ST STE 131Durango, CO 81301-7318
Mailing Address175 Mercado St Ste 131Durango, CO 81301-7318 · (970) 382-2000 · Fax (970) 382-2069
Fax(970) 382-2069
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2007
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1659567741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CO · APN.0990037-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
175 MERCADO ST STE 131, Durango, CO 81301

Other Identifiers 1

Medicaid9000113630CO

Accepted 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

Barbara Ann Hamilton Np-c 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 ID9931341773
PECOS Enrollment IDI20130807000915
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 3

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
191 services39 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
89 services39 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
29 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Acute Care)
175 MERCADO ST STE 131
DURANGO, CO 81301
Nurse Practitioner
175 MERCADO ST STE 131
DURANGO, CO 81301
Family Medicine (Hospice and Palliative Medicine)
175 MERCADO ST STE 131
DURANGO, CO 81301
Home Health
175 MERCADO ST STE 131
DURANGO, CO 81301
Hospice Care, Community Based
175 MERCADO ST STE 131
DURANGO, CO 81301
Home Health
175 MERCADO ST STE 131
DURANGO, CO 81301
Family Medicine (Hospice and Palliative Medicine)
175 MERCADO ST STE 131
DURANGO, CO 81301
Physical Therapist
175 MERCADO ST STE 131
DURANGO, CO 81301

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 Barbara Hamilton's NPI number?

The NPI number for Barbara Hamilton is 1659567741. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Barbara Hamilton located?

Barbara Hamilton practices at 175 Mercado St Ste 131, Durango, CO 81301. The listed phone number is (970) 382-2000.

What is Barbara Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Barbara Hamilton enrolled in Medicare?

Yes. Barbara Hamilton 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 Barbara Hamilton accept?

Health plans from UnitedHealthcare list Barbara Hamilton 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 Barbara Hamilton was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.