Individual provider Active NPI

Colby Beth Mickartz, AG-ACNP

  • Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1164263489
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95034003 Issued in CA
Practice address
5 Harris CT Ste 201
Monterey, CA 93940-5750
Phone
(831) 375-4105
NPI assigned
Jun 3, 2024
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP241192 ME
Nurse Practitioner 363L00000X 95034003 CA Primary
Acute Care Nurse Practitioner 363LA2100X CNP241192 ME

Addresses

Primary practice location

5 Harris CT Ste 201
Monterey, CA 93940-5750

Mailing address

5 Harris CT Ste 201
Monterey, CA 93940-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260105003400 CA Practitioner - Nurse Practitioner 7517402076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

40 Ryan CT
Suite 100
Monterey, CA 93940-7807

5 Harris CT
Monterey, CA 93940-5731

895 Fillippelli Dr
Gilroy, CA 95020-3903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95034003CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Oncology a Medical Corporation CurrentSince Sep 23, 2025 Accepting new patients
Monterey Bay Oncology a Medical Corporation PastSince Sep 23, 2025 Accepting new patients

Locations

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

5 Harris Ct
Ste 201
Monterey, CA 93940
Phone (831) 375-4105

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1164263489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKARTZ",
        "first_name": "COLBY",
        "middle_name": "BETH",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP241192",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034003",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ME",
            "license": "CNP241192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.