Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn McCullough

Individual provider Nurse Practitioner · NPI 1205452141

Kathryn McCullough is a Nurse Practitioner in Grand Junction, Colorado. Qualified in 2019, 7 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2020

Practice location Address checks out

2454 Hwy 6 And 50 Ste 104
Grand Junction, CO 81505-1117
Phone: (970) 644-9900
Fax: (970) 773-5937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2535 S Downing St, Denver, CO 80210-5847 — (303) 778-5797
  • 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 — (303) 525-3221

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0995228-NP (CO)

Record details

NPI number1205452141
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address300 S Nevada Ave, Montrose, CO 81401-4273

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Junction