NPIMap

Individual provider Active NPI

Megan Mavety, NP

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1164933578
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994395-NP Issued in CO
Practice address
4863 N Nevada Ave
Colorado Springs, CO 80918-3951
Phone
(719) 344-3213
Fax
(719) 260-1821
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95007562 CA
Adult Health Nurse Practitioner 363LA2200X APN.0994395-NP CO Primary

Addresses

Primary practice location

4863 N Nevada Ave
Colorado Springs, CO 80918-3951

Mailing address

3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 632-5700

Other practice location 1

2877 E Fountain Blvd
Colorado Springs, CO 80910-2312
Phone (719) 454-6009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206003024 CO Practitioner - Nurse Practitioner 8921358565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2877 E Fountain Blvd
Oak Street Health Pikes Peak Park
Colorado Springs, CO 80910-2312
Phone (719) 454-6009

5636 N Union Blvd
Colorado Springs, CO 80918-1940
Phone (719) 630-6440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95007562CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 4, 2019 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Oct 7, 2024 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Oct 7, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 4, 2019 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

4863 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 255-8001

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

2877 E Fountain Blvd
Colorado Springs, CO 80910
Phone (719) 454-6009

Interoperability endpoints

  • Direct secure messaging: mmavety@landmarkhealth-direct.org
  • Direct secure messaging: megan.mavety.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 6

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1164933578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951",
            "telephone_number": "719-344-3213",
            "fax_number": "719-260-1821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2877 E Fountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809102312",
            "country_code": "US",
            "telephone_number": "719-454-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAVETY",
        "first_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95007562",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994395-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.