Kathryn Mccullough, - Medicare Nurse Practitioner in Grand Junction, CO

Kathryn Mccullough, is a medicare enrolled "Nurse Practitioner" in Grand Junction, Colorado. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Scl Health Medical Group - Grand Junction Llc and her current practice location is 2454 Hwy 6 And 50 Ste 104, Grand Junction, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 644-9900.

Kathryn Mccullough is licensed to practice in Colorado (license number 0995228-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205452141.

Contact Information

Kathryn Mccullough,
2454 Hwy 6 And 50 Ste 104,
Grand Junction, CO 81505-1117
(970) 644-9900
(970) 773-5937

Map and Direction




Provider's Profile

Full NameKathryn Mccullough
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2454 Hwy 6 And 50 Ste 104, Grand Junction, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Mccullough graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1205452141
  • Provider Enumeration Date: 06/16/2020
  • Last Update Date: 12/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072924356
  • Enrollment ID: I20201117001093

Medical Identifiers

Medical identifiers for Kathryn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205452141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0995228-NP (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Medical CenterGrand junction, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scl Health Medical Group - Grand Junction Llc3779707856215

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Mccullough allows following entities to bill medicare on her behalf.
Entity NameSurface Creek Family Practice, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326648254
PECOS PAC ID: 3870575053
Enrollment ID: O20040602000671
Entity NamePortercare Adventist Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760761928
PECOS PAC ID: 0941110886
Enrollment ID: O20090115000327
Entity NameScl Health Medical Group - Grand Junction Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356765556
PECOS PAC ID: 3779707856
Enrollment ID: O20140611000363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Mccullough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Mccullough,
300 S Nevada Ave,
Montrose, CO 81401-4273

Ph: (970) 249-7751
Kathryn Mccullough,
2454 Hwy 6 And 50 Ste 104,
Grand Junction, CO 81505-1117

Ph: (970) 644-9900

Reviews and Comments


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Phone: 970-200-1600    Fax: 970-692-8301

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.