Individual provider Active NPI

Mary Avila, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1013720853
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000488-NP Issued in CO
Practice address
3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907
Phone
(719) 694-3595
Fax
(719) 493-9936
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1000488-NP CO Primary

Addresses

Primary practice location

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907

Mailing address

3920 N Union Blvd Ste 150
Colorado Springs, CO 80907-1907
Phone (719) 694-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220002299 CO Practitioner - Nurse Practitioner 1456871441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar Neurology of Colorado Springs PCGroup PAC ID 5698185817, 3 clinicians
Matthews-Vu Medical Group, P.C.Group PAC ID 3072790864, 39 clinicians

Practice addresses (Care Compare)

3920 N Union Blvd
Suite 150
Colorado Springs, CO 80907-1907
Phone (719) 694-3595

4190 E Woodmen Rd
Suite 100
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1000488-NPCOMDFamily Nurse Practitioner

Practice roles (6 of 9)

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Mar 10, 2025 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Mar 10, 2025 Accepting new patients
Alpine Medical Group Colorado PLLC CurrentSince Oct 21, 2025 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Northstar Neurology of Colorado Springs PC PastSince Jun 14, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4150 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (719) 418-2121

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Networks

  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO

Interoperability endpoints

  • Direct secure messaging: mary.avila@mvmg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIACCD/Endpoint/FIACCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFBGBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1013720853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071907",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809071907",
            "telephone_number": "719-694-3595",
            "fax_number": "719-493-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MARY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000488-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.