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

Tracey Nutter

Individual provider Registered Nurse · NPI 1215568076

Tracey Nutter is a Nurse Practitioner in Fort Collins, Colorado. Qualified in 2019, 7 years ago. Practices with Revive Pathway, a 12-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Licensed in
CO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone: (970) 494-4200
Fax: (970) 613-4475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN.0998714-NP (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN.1689615 (CO)

Record details

NPI number1215568076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2020
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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 Revive Pathway — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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