Individual provider Active NPI

Joseph Maxwell, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1053018127
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998378-NP Issued in CO
Practice address
3455 Ringsby CT Ste 140
Denver, CO 80216-5050
Phone
(720) 460-9080
NPI assigned
Feb 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998378-NP CO Primary

Addresses

Primary practice location

3455 Ringsby CT Ste 140
Denver, CO 80216-5050

Mailing address

3455 Ringsby CT
Denver, CO 80216-4922
Phone (720) 460-9004

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
I20231005000332 CO Practitioner - Nurse Practitioner 1456706803 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Front Range, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Bailie Cronin Aprn LLC Psychiatric/Mental Health CurrentSince Feb 12, 2023 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jun 14, 2023 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Mental Health Minds LLC Psychiatric/Mental Health Past Accepting new patients

Locations

3455 Ringsby Ct
Ste 140
Denver, CO 80216
Phone (720) 460-9080

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3400 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 467-4000

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1053018127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 RINGSBY CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802164922",
            "telephone_number": "720-460-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 RINGSBY CT STE 140",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802165050",
            "telephone_number": "720-460-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JOSEPH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998378-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.