Individual provider Active NPI

Mary Louise McWethy, NP-C

  • Family Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1023776622
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023913 Issued in IL
Practice address
5200 Hahns Peak Dr
Loveland, CO 80538-8852
Phone
(307) 920-2997
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023913 IL Primary
Nurse Practitioner 363L00000X APN.0999064-NP CO
Family Nurse Practitioner 363LF0000X APN.0999064-NP CO
Registered Nurse 163W00000X 041.406026 IL

Addresses

Primary practice location

5200 Hahns Peak Dr
Loveland, CO 80538-8852

Mailing address

1115 White Rock Dr
Dixon, IL 61021-9050
Phone (815) 440-7901

Other practice location 1

1000 Lincoln St Ste 101
Fort Morgan, CO 80701-3290
Phone (970) 867-3391

Other identifiers 1

IdentifierTypeStateIssuer
209023913OtherILAPRN LICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address marymcseed@icloud.com Direct
Direct Messaging Address mary.mcwethy@va.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220222001398 IL Practitioner - Nurse Practitioner 1254725013 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.406026ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2023 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Nov 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Iniatives Colorado CurrentSince Oct 1, 2023 Accepting new patients
Epss LLC - Central Series CurrentSince Sep 14, 2022 Accepting new patients
Epss, LLC- Metro Series CurrentSince Jan 1, 2022 Accepting new patients
Epss Peoria LLC CurrentSince Sep 14, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1000 Lincoln St
Ste 101
Fort Morgan, CO 80701
Phone (970) 542-4390

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

6300 Ridglea Pl
Ste 201
Ft Worth, TX 76116

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1023776622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WHITE ROCK DR",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219050",
            "telephone_number": "815-440-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HAHNS PEAK DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388852",
            "telephone_number": "307-920-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Lincoln St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Morgan",
            "state": "CO",
            "postal_code": "807013290",
            "country_code": "US",
            "telephone_number": "970-867-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWETHY",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023913",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0999064-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999064-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.406026",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "209023913",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marymcseed@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 E 1st St",
            "city": "Spring Valley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613621512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.mcwethy@va.gov",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5200 Hahns Peak Dr",
            "city": "Loveland",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805388852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.