Individual provider Active NPI

Merrietta Novak, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1043800832
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0995875-NP Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 602-3485
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0995875-NP CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

347 S Queen Cir
Lakewood, CO 80226-2547
Phone (303) 202-2114

Other practice location 1

162 Tracker Dr
Colorado Springs, CO 80921-1005
Phone (719) 219-9819

Other practice location 2

10103 Ridgegate Pkwy Ste 303
Lone Tree, CO 80124-5525
Phone (719) 219-9819

Other practice location 3

6025 S Quebec St Ste 140
Centennial, CO 80111-4594
Phone (719) 219-9819

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
I20210217001901 CO Practitioner - Nurse Practitioner 0446665855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care and Rehab ConsultantsGroup PAC ID 5294733861, 58 clinicians

Practice addresses (Care Compare)

2920 Fenton St
Wheat Ridge, CO 80214-8116
Phone (303) 238-0481

5285 McWhinney Blvd
Suite 150
Loveland, CO 80538-9759
Phone (303) 484-8956

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995875-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates of Colorado LLC CurrentSince May 1, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 1, 2021 Accepting new patients
Centerpointe Health Partners CurrentSince Dec 15, 2025 Accepting new patients

Locations

6025 S Quebec St
Ste 140
Centennial, CO 80111
Phone (719) 219-9819

162 Tracker Dr
Colorado Springs, CO 80921
Phone (719) 219-9819

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

125 Rampart Way
Ste 300
Denver, CO 80230
Phone (720) 213-0680

777 Bannock St
Denver, CO 80204

10103 Ridgegate Pkwy
Ste 303
Lone Tree, CO 80124
Phone (719) 219-9819

5285 McWhinney Blvd
Ste 150
Loveland, CO 80538
Phone (719) 219-9819

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1043800832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S QUEEN CIR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262547",
            "telephone_number": "303-202-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-602-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Tracker Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809211005",
            "country_code": "US",
            "telephone_number": "719-219-9819",
            "fax_number": "719-302-3678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10103 Ridgegate Pkwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245525",
            "country_code": "US",
            "telephone_number": "719-219-9819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 S Quebec St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801114594",
            "country_code": "US",
            "telephone_number": "719-219-9819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "MERRIETTA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995875-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.