Individual provider Active NPI

Marcelyn Ann Lepique, M.D.

  • Gynecology Physician
  • Cortez, CO
National Provider Identifier
1114929783
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
DR.0037629 Issued in CO
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4801210OtherAZCIGNA
AZ0756920OtherAZBC/BS AZ
201171314OtherAZAZ FND MED CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marcelynlepique@swhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110106001250 CO Practitioner - Obstetrics/Gynecology 2466422928 Reassigns benefits to 2 organizations
I20220509002572 NM Practitioner - Obstetrics/Gynecology 2466422928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0037629COMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Southwest Health System, Inc. CurrentSince Nov 14, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.