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Bewellness, LLC

Family Nurse Practitioner in Fort Collins, CO · enumerated 2025 · authorized official Jennifer Keller Deraad, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356137905

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Registry record

Entity type Organization (Type 2)
Legal business name Bewellness, LLC
Practice address 1315 Oakridge Dr Ste 100, Fort Collins, CO, 80525
Phone (970) 829-1129
Fax (949) 655-8678
Enumeration date Apr 18, 2025
Last updated in NPPES May 14, 2025

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Keller Deraad
Title Ceo
Phone (970) 829-1129

Other identifiers

Identifier Type State Issuer
1063793289 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-14. Verify at npiregistry.cms.hhs.gov.
Where is Bewellness, LLC located?
The practice location on file with NPPES is in Fort Collins, CO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-14.