MADELINE TRUJILLO (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1063251650

MADELINE TRUJILLO (AGACNP-BC) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. APN.0999754-NP (CO). The NPI Number for MADELINE TRUJILLO (AGACNP-BC) is 1063251650

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE TRUJILLO (AGACNP-BC)
NPI
1063251650
Phone
(303) 539-0736
Address
4105 E FLORIDA AVE STE 200
Enumeration Date
22 May 2024
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3035390736
Graduation Year
2024 (2 years ago)
PAC ID
7911438981
Group Practice PAC ID
8921909755
Professional Enrollment ID
I20241001002753
Address ID
CO802223641DE4105XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for MADELINE TRUJILLO (AGACNP-BC)

  • 4105 E FLORIDA AVE STE 200

    DENVER, CO 802223641

    Phone: (303) 539-0736

    Fax: (303) 539-0737

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241001002753INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921909755View full group profile
NameSpecialtyState
-CO
Vascular SurgeryCO
-NC
Physician AssistantIL
Vascular Surgery, General PracticeCO
-CO
Physician AssistantCO
Physician AssistantCO

Reviews

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Frequently asked questions

Where can patients find MADELINE TRUJILLO (AGACNP-BC)'s NPI?
You can confirm MADELINE TRUJILLO (AGACNP-BC) with NPI 1063251650; it appears in the national provider directory.
Is MADELINE TRUJILLO (AGACNP-BC) currently active in the NPI registry?
CMS-published data lists MADELINE TRUJILLO (AGACNP-BC) as an active registrant.
Does MADELINE TRUJILLO (AGACNP-BC) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MADELINE TRUJILLO (AGACNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MADELINE TRUJILLO (AGACNP-BC)?
The page summarizes Denver, Colorado for MADELINE TRUJILLO (AGACNP-BC); expand the address list for detail.
What if Denver, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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