DR. CARTER SIMON ODEAN DO
NPI 1922893189
Student in an Organized Health Care Education/Training Program in Fort Collins, CO

Q: What is Carter Odean's NPI number?

The NPI number for Carter Odean is 1922893189. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Carter Odean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carter Odean was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 10, 2025PECOS Enrolled

1025 PENNOCK PL, FORT COLLINS, CO 80524(970) 495-8800(970) 495-8891 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carter Simon Odean Do NPPES

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

DR. CARTER SIMON ODEAN DO (NPI 1922893189) is an individual student in an organized health care education/training program in Fort Collins, Colorado and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922893189

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. CARTER SIMON ODEANCredential: DO

Location Address1025 PENNOCK PLFort Collins, CO 80524-3250

Mailing Address1025 Pennock PlFort Collins, CO 80524-3250 · (970) 495-8800 · Fax (970) 495-8891

Phone(970) 495-8800

Fax(970) 495-8891

Sole ProprietorNo

Enumeration DateApril 10, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1922893189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1025 PENNOCK PL, Fort Collins, CO 80524

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carter Simon Odean Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

BENJAMIN SMITH

Family Medicine

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

STEPHEN O'NEILL MD

Student in an Organized Health Care Education/Training Program

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

CALEB ALEXANDER JOSEPHS DO

Hospitalist

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

MS. AZURE L ZEIGLER ARNP

Nurse Practitioner (Family)

1025 PENNOCK PL, FAMILY MEDICINE CENTER
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

DR. ROGER P BERMINGHAM M. D.

Family Medicine

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

KATHRYN MARGRET DAVID FNP

Nurse Practitioner (Family)

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

BEVERLY WINTER NP

Nurse Practitioner

1025 PENNOCK PL, STE 121
FORT COLLINS, CO 80524

Larimer County (970) 221-3855

MS. DIANA MARIE JACKSON FNP

Nurse Practitioner (Family)

1025 PENNOCK PL
FORT COLLINS, CO 80524

Larimer County (970) 495-8800

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 Carter Odean's NPI number?

The NPI number for Carter Odean is 1922893189. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Carter Odean located?

Carter Odean practices at 1025 Pennock Pl, Fort Collins, CO 80524. The listed phone number is (970) 495-8800.

What is Carter Odean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carter Odean enrolled in Medicare?

Yes. Carter Odean is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carter Odean was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.