DR. ROBERT R NYSTROM D.O.
NPI 1902936107
General Practice in Greeley, CO
About Dr. Robert R Nystrom D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROBERT R NYSTROM D.O. (NPI 1902936107) is an individual general practice provider in Greeley, Colorado, licensed in Colorado (30464) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
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
Dr. Robert R Nystrom D.o. 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 Robert Nystrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greeley, CO 80634
- Reassigned Medicare billing, Colorado enrollment
- 22 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.
Areas of Expertise CMS Part B claims
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.
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.
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.
GREELEY, CO 80631
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 Robert Nystrom's NPI number?
The NPI number for Robert Nystrom is 1902936107. It was assigned to this individual provider in the NPPES registry on March 6, 2007.
Where is Robert Nystrom located?
Robert Nystrom practices at 1900 16th St, Greeley, CO 80631. The listed phone number is (970) 350-2471.
What is Robert Nystrom's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Robert Nystrom enrolled in Medicare?
Yes. Robert Nystrom 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 Robert Nystrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Nystrom reassigns Medicare benefits to Banner Urgent Care Colorado (Greeley, 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 Robert Nystrom'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 Robert Nystrom was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Robert R Nystrom, D.O. · NPI 1902936107
General Practice physician in Greeley, Colorado. Individual provider, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1902936107 (Entity type: Individual)
- **Enumerated:** March 6, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 30464 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 16TH ST, Greeley, CO 80631-5114
- **Phone:** (970) 350-2471 · **Fax:** (970) 350-2418
## 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:** Banner Urgent Care Colorado (NPI 1679055438, Greeley, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** College Of Osteo Med Of The Pacific At Pomona, class of 1989
## Record status
- **NPPES last updated:** May 2, 2012
- **Other identifiers:** Medicare PIN CO301498 (CO); Other P00931173 (CO); Medicare PIN COA102091 (CO); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1902936107) · Data from the CMS NPPES public registry.