AGNES MARIE EYTCHISON (FNP) – Family Nurse Practitioner, NPI 1205003076

AGNES MARIE EYTCHISON (FNP) is a healthcare provider. based in Durango, Colorado. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 176415 (CO). The NPI Number for AGNES MARIE EYTCHISON (FNP) is 1205003076

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
AGNES MARIE EYTCHISON (FNP)
NPI
1205003076
Phone
(970) 385-2129
Address
10 PURGATORY BLVD
Enumeration Date
12 May 2008
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9707643390
Graduation Year
1996 (30 years ago)
PAC ID
6002981438
Group Practice PAC ID
4183941834
Professional Enrollment ID
I20080826000377
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080826000377INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less44967$0
97597Removal of tissue from wound, 20.0 sq cm or less21450$0
99213Established patient office or other outpatient visit, 20-29 minutes20162$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less12514$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less8217$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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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: 4183941834View full group profile
NameSpecialtyState
Emergency MedicineID
Nurse PractitionerCO
Nurse PractitionerCO
-CO
Emergency MedicineCO
Nurse PractitionerTX
-CO
Emergency MedicineNY
Nurse PractitionerCO
-CO

Reviews

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Frequently asked questions

Where can patients find AGNES MARIE EYTCHISON (FNP)'s NPI?
You can confirm AGNES MARIE EYTCHISON (FNP) with NPI 1205003076; it appears in the national provider directory.
Is AGNES MARIE EYTCHISON (FNP) currently active in the NPI registry?
CMS-published data lists AGNES MARIE EYTCHISON (FNP) as an active registrant.
Does AGNES MARIE EYTCHISON (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for AGNES MARIE EYTCHISON (FNP). Clinical services aligned with this taxonomy classification.
Does AGNES MARIE EYTCHISON (FNP) practice in Colorado?
You will see Durango, Colorado on file for AGNES MARIE EYTCHISON (FNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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