Active NPI
Michael Mohr
- Acute Care Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1144765173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 77486
- Practice address
- 1819 W Colorado Ave
Colorado Springs, CO 80904-3836 - Phone
- (719) 508-1616
- NPI assigned
- Dec 29, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 77486 | KS | Primary |
Addresses
Primary practice location
1819 W Colorado Ave
Colorado Springs, CO 80904-3836
Mailing address
7712 Bannockburn TRL
Colorado Springs, CO 80908-4845
Phone (316) 210-6340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77486 | KS | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1144765173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7712 BANNOCKBURN TRL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809084845",
"telephone_number": "316-210-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043836",
"telephone_number": "719-508-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-29",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "77486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.