Active NPI
Marcelyn Ann Lepique, M.D.
- Gynecology Physician
- Cortez, CO
National Provider Identifier
1114929783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- DR.0037629
- Practice address
- 1311A N Mildred Rd
Cortez, CO 81321-2231 - Phone
- (970) 564-2662
- Fax
- (970) 564-2658
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 31971 | AZ | |
| Gynecology Physician | 207VG0400X | DR.0037629 | CO | Primary |
Addresses
Primary practice location
1311A N Mildred Rd
Cortez, CO 81321-2231
Mailing address
1311A N Mildred Rd
Cortez, CO 81321-2231
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4801210 | Other | AZ | CIGNA |
| AZ0756920 | Other | AZ | BC/BS AZ |
| 201171314 | Other | AZ | AZ FND MED CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marcelynlepique@swhealth.cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0037629 | CO | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health System Inc | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients |
Locations
33 N Elm St
Cortez, CO 81321
Phone (970) 565-8556
1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666
1311 N Mildred Rd
#A
Cortez, CO 81321
Phone (970) 565-8556
Interoperability endpoints
- marcelynlepique@swhealth.cernerdirect.com
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Cortez, CO
- NPI 1649241571
-
- Rural Health Clinic/Center
- Cortez, CO
- NPI 1578689527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1114929783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311A N MILDRED RD",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311A N MILDRED RD",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813212231",
"telephone_number": "970-564-2662",
"fax_number": "970-564-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPIQUE",
"first_name": "MARCELYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "31971",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CO",
"license": "DR.0037629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4801210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS AZ",
"identifier": "AZ0756920",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ FND MED CARE",
"identifier": "201171314",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marcelynlepique@swhealth.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Southwest Health System Labor and Delivery",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1311A N Mildred Rd",
"city": "Cortez",
"state": "CO",
"country_code": "US",
"postal_code": "813212231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.