SQUARE ONE HEALTH LLC
NPI 1790370914
Nurse Practitioner in Fort Collins, CO

Q: What is Square One Health LLC's NPI number?

The NPI number for Square One Health LLC is 1790370914. It was assigned to this organization in the NPPES registry on March 9, 2021.

Q: What is Square One Health LLC's specialty?

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

Active since March 09, 2021

257 BOARDWALK DR, FORT COLLINS, CO 80525(970) 207-4463(970) 207-4052 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Square One Health Llc NPPES

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

SQUARE ONE HEALTH LLC (NPI 1790370914) is a healthcare organization registered as a nurse practitioner in Fort Collins, Colorado and active in the NPI registry since March 2021. The organization lists Christopher Gubbels, Owner, as its authorized official.

NPPES Registry Identity

NPI1790370914

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSQUARE ONE HEALTH LLC

Location Address257 BOARDWALK DRFort Collins, CO 80525-3661

Mailing Address4914 Brookfield Dr Unit AFort Collins, CO 80528-3199 · (970) 207-4463

Phone(970) 207-4463

Fax(970) 207-4052

Organization SubpartNo

Authorized OfficialChristopher GubbelsOwner · (970) 207-4463

Enumeration DateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1790370914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

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.

257 BOARDWALK DR, Fort Collins, CO 80525

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Square One Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Square One Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Timothy Cowan, DC

Chiropractic

NPI 1952057085

257 BOARDWALK DR
Fort Collins, CO 80525

(970) 207-4463

✔ Accepts MedicareSame address

Christopher Gubbels, DC

Chiropractic

NPI 1437313509

257 E BOARDWALK DR
Fort Collins, CO 80525

(970) 207-4046

Same address

Natasha Forgey, NP

Nurse Practitioner

NPI 1093477200

2315 E HARMONY RD STE 130
Fort Collins, CO 80528

(970) 631-8877

✔ PECOS✔ Accepts Medicare2.1 mi

Emily Souders, DNP, FNP-BC, APN

Nurse Practitioner

NPI 1245014828

2121 E HARMONY RD UNIT 100
Fort Collins, CO 80528

(765) 404-8359

✔ PECOS✔ Accepts Medicare2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Square One Health LLC's NPI number?

The NPI number for Square One Health LLC is 1790370914. It was assigned to this organization in the NPPES registry on March 9, 2021.

Where is Square One Health LLC located?

Square One Health LLC is located at 257 Boardwalk Dr, Fort Collins, CO 80525. The listed phone number is (970) 207-4463.

What is Square One Health LLC's specialty?

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

Is Square One Health LLC enrolled in Medicare?

Yes. Square One Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Square One Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Square One Health LLC, in Chiropractic and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Square One Health LLC was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.