DR. NICOLE MARIE OURY (M.D.) – Emergency Medicine Physician, NPI 1790887164

DR. NICOLE MARIE OURY (M.D.) is a healthcare provider. based in Cortez, Colorado. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 43689 (CO). The NPI Number for DR. NICOLE MARIE OURY (M.D.) is 1790887164

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE OURY (M.D.)
NPI
1790887164
Phone
(970) 564-2005
Address
1311 N MILDRED RD
Enumeration Date
5 September 2006
Last Update Date
11 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702473537
Graduation Year
2001 (25 years ago)
PAC ID
2062431505
Group Practice PAC ID
0143295428
Professional Enrollment ID
I20100719000534
Address ID
CO813017487DU575XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,199 EMERGENCY MEDICINE in CO

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Provider Addresses for DR. NICOLE MARIE OURY (M.D.)

  • Southwest Memorial Hospital, 1311, North Mildred Road, Cortez, Montezuma County, Colorado, 81321, United States

    CORTEZ, CO 813212231

    Phone: (970) 564-2005

    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: 2010-07-19

PECOS data refreshed: 2026-06-15

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
I20100719000534IEmergency MedicineCOTBD

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 81321)

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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: 0143295428View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YTX
Physician AssistantCO
Physician AssistantCO
P A T H O L O G YUT

Reviews

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Frequently asked questions

What federal number belongs to DR. NICOLE MARIE OURY (M.D.)?
The federal identifier for DR. NICOLE MARIE OURY (M.D.) is NPI 1790887164.
Does this profile mean DR. NICOLE MARIE OURY (M.D.) is currently active?
Yes — DR. NICOLE MARIE OURY (M.D.) appears active in the national provider directory.
What does DR. NICOLE MARIE OURY (M.D.) treat or focus on?
Patients typically see DR. NICOLE MARIE OURY (M.D.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. NICOLE MARIE OURY (M.D.)'s primary listing?
We display Cortez, Colorado because that is what the record indicates for DR. NICOLE MARIE OURY (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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