AGNES MARIE EYTCHISON (FNP) – Family Nurse Practitioner, NPI 1205003076
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AGNES MARIE EYTCHISON (FNP)
10 PURGATORY BLVD
DURANGO, CO 81301
Phone: (970) 385-2129
Type: Location
1010 THREE SPRINGS BLVD STE 200B
DURANGO, CO 813018296
Phone: (709) 764-3390
Fax: (970) 764-3399
Type: Location
Mercy Regional Medical Center, 1010, Three Springs Boulevard, Durango, La Plata County, Colorado, 81301, United States
DURANGO, CO 813018296
Phone: (970) 764-3775
Fax: (970) 764-3789
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $435.
Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Kerecis Limited ($380).
Total Amount
$435
General + Research + Ownership
Payments
7
Total payment records
General Amount
$435
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $380 |
| Organogenesis Inc. | $35 |
| Next Science LLC | $20 |
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: 2008-08-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080826000377 | I | Nurse Practitioner | CO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 449 | 67 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 214 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 201 | 62 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 125 | 14 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 82 | 17 | $0 |
Insurance plans in this area (ZIP 81301)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Emergency Medicine | CO | |
| Nurse Practitioner | TX | |
| - | CO | |
| Emergency Medicine | NY | |
| Nurse Practitioner | CO | |
| - | CO |
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