MICHELLE LEE LUPICA (D.O.) – Family Medicine Physician, NPI 1245498112

MICHELLE LEE LUPICA (D.O.) is a healthcare provider. based in Yuma, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 47052 (CO). The NPI Number for MICHELLE LEE LUPICA (D.O.) is 1245498112

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LEE LUPICA (D.O.)
NPI
1245498112
Phone
(970) 848-5405
Address
1000 W 8TH AVE
Enumeration Date
28 May 2008
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9707243442
Graduation Year
2007 (19 years ago)
PAC ID
2365575297
Group Practice PAC ID
7517871544
Professional Enrollment ID
I20100729000431
Address ID
CO804590399KR214XXSTXX400

Contacts

Secure Messaging
mlupica288316@directe.centura.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

2,661 FAMILY PRACTICE in CO

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Provider Addresses for MICHELLE LEE LUPICA (D.O.)

  • Yuma District Hospital, 1000, West 8th Avenue, Yuma, Yuma County, Colorado, 80759, United States

    YUMA, CO 807592641

    Phone: (970) 848-5405

    Fax: (970) 848-5475

    Type: Mailing

  • 214, 4th Street, Kremmling, Grand County, Colorado, 80459, United States

    KREMMLING, CO 80459

    Phone: (970) 724-3442

    Fax: (970) 724-9606

    Type: Location

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: 2010-07-29

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
I20100729000431IFamily PracticeCOTBD

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 80759)

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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: 7517871544View full group profile
NameSpecialtyState
Nurse PractitionerCO
Family PracticeKS
-CO
Physician AssistantCO
Family PracticeCO
Nurse PractitionerCO
-TX
H O S P I T A L I S TCO
Nurse PractitionerCO
N E U R O S U R G E R YTX

Reviews

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Frequently asked questions

What NPI should I save for MICHELLE LEE LUPICA (D.O.)?
Save NPI 1245498112 if you need a stable reference for MICHELLE LEE LUPICA (D.O.).
Is MICHELLE LEE LUPICA (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MICHELLE LEE LUPICA (D.O.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MICHELLE LEE LUPICA (D.O.). Clinical services aligned with this taxonomy classification.
Does MICHELLE LEE LUPICA (D.O.) practice in Colorado?
You will see Yuma, Colorado on file for MICHELLE LEE LUPICA (D.O.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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