BARBARA A PIVONKA FNP
NPI 1942204698
Nurse Practitioner in Fort Lupton, CO

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
1115 2ND ST, FORT LUPTON, CO 80621(303) 857-2771(720) 322-9434 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Barbara A Pivonka Fnp NPPES

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

BARBARA A PIVONKA FNP (NPI 1942204698) is an individual nurse practitioner in Fort Lupton, Colorado, licensed in Colorado (APN.0002434-NP) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1942204698
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBARBARA A PIVONKACredential: FNP
Location Address1115 2ND STFort Lupton, CO 80621-1745
Mailing Address203 S Rollie Ave, Billing Dept - CredentialistFort Lupton, CO 80621-1508 · (303) 286-4560 · Fax (303) 286-4589
Fax(720) 322-9434
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 10, 2005
Last NPPES UpdateJune 29, 2016
NPI 1942204698 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.0002434-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.

1115 2ND ST, Fort Lupton, CO 80621

Other Identifiers 2

Medicaid07882874CO
Medicare PINC0300523CO

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 A Pivonka Fnp 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 ID1951482371
PECOS Enrollment IDI20080111000165
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80621 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.

Other Providers at the Same Location NPPES 17

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

Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Dental Hygienist
1115 2ND ST
FORT LUPTON, CO 80621
Counselor (Professional)
1115 2ND ST
FORT LUPTON, CO 80621
Physician Assistant
1115 2ND ST
FORT LUPTON, CO 80621
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Clinic/Center (Federally Qualified Health Center (FQHC))
1115 2ND ST
FORT LUPTON, CO 80621

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 Pivonka's NPI number?

The NPI number for Barbara Pivonka is 1942204698. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Barbara Pivonka located?

Barbara Pivonka practices at 1115 2nd St, Fort Lupton, CO 80621. The listed phone number is (303) 857-2771.

What is Barbara Pivonka's specialty?

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

Is Barbara Pivonka enrolled in Medicare?

Yes. Barbara Pivonka 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 Pivonka accept?

Health plans from Medica list Barbara Pivonka 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 Pivonka was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.