Individual provider Active NPI

Mark Muller, FNP

  • Family Nurse Practitioner
  • Brighton, CO
National Provider Identifier
1063229110
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000139-NP Issued in CO
Practice address
2801 Purcell St
Brighton, CO 80601-3551
Phone
(303) 558-0515
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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.1000139-NP CO Primary

Addresses

Primary practice location

2801 Purcell St
Brighton, CO 80601-3551

Mailing address

425 Vernier Ave
Lafayette, CO 80026-3129
Phone (970) 200-2998

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
I20250221000452 CO Practitioner - Nurse Practitioner 6406376458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

1599 Ingalls St
Lakewood, CO 80214-1505
Phone (303) 232-3551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000139-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care and Rehab Consultants CurrentSince Sep 29, 2025 Accepting new patients
Platte River Medical Clinic LLC CurrentSince Jan 15, 2025 Accepting new patients
Advanced Urgent Care LLC Current Accepting new patients
LTC Urgent Services, LLC PastSince Apr 26, 2020 Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

1599 Ingalls St
Lakewood, CO 80214
Phone (303) 232-3551

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1063229110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 VERNIER AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263129",
            "telephone_number": "970-200-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-558-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "MARK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000139-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.