MRS. LILY DANDY BULTEMA CNM
NPI 1508003351
Advanced Practice Midwife in Ft Carson, CO
NPI Status: Active since January 15, 2009
Contact Information
1650 COCHRANE CIR
FT CARSON, CO
ZIP 80913
Phone: (719) 526-7746
- Individual
- Female
- Advanced Practice Midwife
- PECOS Enrolled
About LILY BULTEMA
This page provides the complete NPI Profile along with additional information for Lily Bultema, a provider established in Ft Carson, Colorado with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1508003351 assigned on January 2009. The practitioner's primary taxonomy code is 367A00000X with license number 5878 (CO). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1508003351
- Provider Name
- MRS. LILY DANDY BULTEMA CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1650 COCHRANE CIR FT CARSON, CO 80913
- Location Phone
- (719) 526-7746
- Mailing Address
- 1305 N CASCADE AVE COLORADO SPRINGS, CO 80903
- Mailing Phone
- (719) 659-3060
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-15-2009
- Last Update Date
- 11-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Midwife
- Taxonomy Code
- 367A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5878
- License State
- CO
- Taxonomy Description
- Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Medicare Participation & PECOS Enrollment Status
Lily Bultema is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 80913 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 0 | 0 | 3 | 3 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 0 | 0 | 6 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 0 + 0 + 6 + 3 + 1 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1508003351 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790779585 | PATRICIA LYNN MONEY N.P. Individual | Nurse Practitioner (Women's Health) | 1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, CO 80913 (719) 526-7165 |
| 1558349407 | DR. MARK P. GAUL MD, MPH Individual | Preventive Medicine (Aerospace Medicine) | 1650 COCHRANE CIR BLDG 7500 FT CARSON, CO 80913 (719) 526-7844 |
| 1134108509 | MR. RONALD ANTHONY DEUTSCH PA Individual | Physician Assistant (Medical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7489 |
| 1306825773 | MRS. SHIRLEY JEAN TYLER PA-C Individual | Physician Assistant | 1650 COCHRANE CIR EVANS FAMILY MEDICINE CLINIC FORT CARSON, CO 80913 (719) 524-4068 |
| 1851370225 | DR. KAY BEAULIEU PSYD Individual | Psychologist | 1650 COCHRANE CIR BEHAVIORAL HEALTH FORT CARSON, CO 80913 (719) 576-9890 |
| 1225017601 | MS. BONNIE CASTRO CRT Individual | Respiratory Therapist, Certified | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 524-4100 |
| 1740269075 | STEPHEN RANDALL JONES D.O. Individual | Obstetrics & Gynecology | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7172 |
| 1811976079 | MR. CHESTER STEVEN SULLIVAN PA-C Individual | Physician Assistant (Medical) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 524-4068 |
| 1821078908 | DR. CHARLES DAVIES AMOS ED.D., MSW Individual | Social Worker (Clinical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7085 |
| 1265412050 | MRS. SUSAN CHRISTINE ALTENBURG CNM Individual | Advanced Practice Midwife | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 520-8595 |
| 1457321671 | SCOTT ERIN STANFIELD Individual | Licensed Practical Nurse | 1650 COCHRANE CIR BOX #23 FT CARSON, CO 80913 (816) 786-4158 |
| 1497725535 | MRS. LAURIE K ISAACSON RN Individual | Registered Nurse (Emergency) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7964 |
| 1871564138 | MRS. MABEL L GUERRA LCSW Individual | Social Worker (Clinical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (361) 549-3024 |
| 1689644007 | MS. CATHEY YVETTE MOORE RN Individual | Registered Nurse (Obstetric, Inpatient) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7090 |
| 1215908314 | DR. WILLIAM L BLACK M.D. Individual | Emergency Medicine | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7844 |
| 1538131834 | MRS. SHIRLEY ANN JOHNSON CNM Individual | Registered Nurse (Women's Health Care, Ambulatory) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7172 |
| 1861464869 | ANNE KIDD Individual | Social Worker (Clinical) | 1650 COCHRANE CIR ATTN: CREDENTIALS OFFICE FT CARSON, CO 80913 (719) 526-7844 |
| 1891767356 | MS. MELANIE JO CRAIG RD Individual | Dietitian, Registered | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7968 |
| 1164494795 | DR. CLIFTON STEVER SLADE MD Individual | Ophthalmology | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7450 |
| 1477525095 | MS. LYNNE A PROUHET FNP Individual | Nurse Practitioner (Family) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-5174 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508003351, enumerated in the NPI registry as an "individual" on January 15, 2009
The provider is located at 1650 Cochrane Cir Ft Carson, Co 80913 and the phone number is (719) 526-7746
The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 15, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.