Cory R Peticolas, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0997994 Issued in CO

Practice address

2801 Purcell St
Brighton, CO 80601-3551

Phone

(303) 558-0515

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.74 of 100Reported as group

Quality

72.92

Promoting interoperability

100

Improvement activities

40

Cost

72.87

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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 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.

• Primary Care Solutions P.C.

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250
  Medicare reassignment Care Compare group NPD
• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment Care Compare group NPD
• Advanced Urgent Care LLC

  dba Advanced Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Brighton, CO
  • NPI 1841579703
  Medicare reassignment NPD
• Platte River Medical Clinic LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1477667244
  NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1073235180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 S WESTVIEW ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202837",
            "telephone_number": "720-280-2595"
        },
        {
            "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": "PETICOLAS",
        "first_name": "CORY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bruce L Peterson, DDS
• Peggy Sue Peterson, CPM,RM
• Katrina Le Pham, PT, DPT
• Eliza Claire Pharis
• Shobha Philip
• Phillip Mendoza MD, LLC
• Rebecca Sholeh Philman, RN

• Family Nurse Practitioner in Brighton, CO
• Providers in Brighton, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.