FOUR CORNERS OB/GYN
NPI 1861503948
Specialist in Durango, CO

Active since August 31, 2006CLIA 06D0939918 · Microscopy
1 MERCADO ST, SUITE # 105, DURANGO, CO 81301(970) 382-8800(970) 382-0122 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2026, Mar 19, 2026, Jul 21, 2022 and 3 more (6 updates tracked since 2019).

About Four Corners Ob/gyn NPPES

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

FOUR CORNERS OB/GYN (NPI 1861503948) is a healthcare organization registered as a specialist in Durango, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through September 19, 2028, maintains 2 additional practice locations, and lists Ruth Olbert, Admin. Assist, as its authorized official.

NPPES Registry Identity

NPI1861503948
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOUR CORNERS OB/GYN
Location Address1 MERCADO ST, SUITE # 105Durango, CO 81301-7300
Mailing Address1 Mercado St Ste 105Durango, CO 81301-7311 · (970) 382-8800 · Fax (970) 382-0122
Fax(970) 382-0122
Organization SubpartNo
Authorized OfficialRuth OlbertAdmin. Assist · (970) 382-8800
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1861503948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 MERCADO ST, Durango, CO 81301

Secondary Practice Locations 2

Location 195 S Pagosa BlvdPagosa Springs, CO 81147-8329 · Phone (970) 382-8800
Location 227B Talisman Dr Unit 3Pagosa Springs, CO 81147-7914 · Phone (970) 382-8800

Other Identifiers 1

MedicaidO4021754CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Four Corners Ob/gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Four Corners Ob/Gyn, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Obstetrics/Gynecology9
Nurse Practitioner2

Clinicians, nearest first (11)

Obstetrics/Gynecology
NPI 1881854545
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1124655188
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.2 mi
Obstetrics/Gynecology
NPI 1184019473
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1912251471
1 MERCADO STREET SUITE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1396035937
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1215315353
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1568489920
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS6.4 mi
Obstetrics/Gynecology
NPI 1730270091
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1457462269
1 MERCADO STREET SUITE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Obstetrics/Gynecology
NPI 1245470921
1 MERCADO ST STE 105
Durango, CO 81301
(970) 382-8800
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1861740276
1000 LINCOLN ST SUITE 101
Fort Morgan, CO 80701
(970) 542-4390
✔ PECOS✔ Accepts Medicare301 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D0939918

Four Corners Ob/Gyn · Durango, CO
Active · expires Sep 19, 2028
CLIA Number06D0939918
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2026
Certificate Expiration DateSeptember 19, 2028
Laboratory DirectorDr. Jeunesse Fredrickson
Laboratory Phone(970) 382-8800
Laboratory LocationFour Corners Ob/Gyn1 Mercado St Suite 105, Durango, CO 81301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Four Corners Ob/Gyn's NPI number?

The NPI number for Four Corners Ob/Gyn is 1861503948. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Four Corners Ob/Gyn located?

Four Corners Ob/Gyn is located at 1 Mercado St Suite # 105, Durango, CO 81301. The listed phone number is (970) 382-8800.

What is Four Corners Ob/Gyn's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Four Corners Ob/Gyn enrolled in Medicare?

Yes. Four Corners Ob/Gyn is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Corners Ob/Gyn?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Four Corners Ob/Gyn. 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. The largest specialties are Obstetrics/Gynecology (9) and Nurse Practitioner (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Four Corners Ob/Gyn hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0939918) is associated with this NPI, valid through September 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Four Corners Ob/Gyn was last updated on July 20, 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.