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Active NPI 1841014784 Individual Practitioner Female Practitioner

Susan Wallace , LPN

Licensed Practical Nurse • Fort Collins, CO

Professional Overview & Biography Verified Profile Summary

Susan Wallace, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Collins, CO. Practice services are available at 2509 RESEARCH BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2509 Research Blvd

Fort Collins, CO 805268108

Telephone 9704052529
Associated Practice Facility / Clinic
🏢 Cheyenne Vamc Facility NPI 1528013083

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Collins, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Fort Collins, CO (721 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-07
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CO PN0023246

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Jessica Knight , RN

Registered Nurse - Ambulatory Care

NPI 1003640004

Registered Nurse

Steven Pote

Psychologist

NPI 1023320561
Dr. Tori Lucas , PharmD

Pharmacist - Ambulatory Care

NPI 1164139838

Doctor of Pharmacy (Pharm.D.)

Sarah Rees

Registered Nurse - Ambulatory Care

NPI 1265254064
Thomas Pritchard , MED

Counselor - Mental Health

NPI 1285073221

Master of Education

Robyn Chapman

Licensed Practical Nurse

NPI 1306710074

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2024

Registered at 2509 RESEARCH BLVD, FORT COLLINS, CO 805268108 (Tel: 9704052529)

📍
Updated Business Mailing Address November 07, 2024

Registered at 2509 RESEARCH BLVD, FORT COLLINS, CO 805268108 (Tel: 9702241550)

👤
Provider Name / Credentials Updated November 07, 2024

Recorded as SUSAN WALLACE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2024

Licensed Practical Nurse (License #PN0023246 in CO)

🟢
Initial NPI Registration & Enumeration November 07, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841014784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2024
Last Update: November 07, 2024
Sole Proprietor: No

Mailing Address

2509 Research Blvd

Fort Collins, CO 805268108

Phone: 9702241550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.