Individual provider Active NPI

Mary E Coleman, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1104078955
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992904-NP Issued in CO
Practice address
559 Vincent St BLDG 725
Colorado Springs, CO 80914-1541
Phone
(719) 524-2273
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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.0992904-NP CO Primary

Addresses

Primary practice location

559 Vincent St BLDG 725
Colorado Springs, CO 80914-1541

Mailing address

2960 N Circle Dr Ste 200
Colorado Springs, CO 80909-1163
Phone (719) 634-8891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200130002514 CO Practitioner - Nurse Practitioner 9335202704 Reassigns benefits to 1 organization
I20250808001744 LA Practitioner - Nurse Practitioner 9335202704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3700 Saint Charles Ave
FL 4
New Orleans, LA 70115-4637
Phone (504) 897-7007

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992904-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Dec 9, 2019 Accepting new patients
Crescent City Physicians, Inc. CurrentSince Aug 11, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Dec 9, 2019 Accepting new patients
Nephrology Associates Past Accepting new patients

Locations

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999

15909 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 481-0899

2121 Ridgelake Dr
Fl 3
Metairie, LA 70001
Phone (504) 325-2700

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 412-1444

3434 Prytania St
Ste 110
New Orleans, LA 70115
Phone (504) 897-7007

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1104078955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 N CIRCLE DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091163",
            "telephone_number": "719-634-8891",
            "fax_number": "196-341-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST BLDG 725",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-524-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992904-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.