NPIMap

Individual provider Active NPI

Deanna Marie Perez, NP

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1184467615
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0999804 Issued in CO
Practice address
1625 Medical Center PT Ste 240
Colorado Springs, CO 80907-8721
Phone
(719) 960-0363
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0999804 CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 240
Colorado Springs, CO 80907-8721

Mailing address

12737 Mt Harvard Dr
Falcon, CO 80831-3816
Phone (719) 641-2243

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
I20240917002113 CO Practitioner - Nurse Practitioner 2264973395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

7435 Sisters GRV
Suite 100
Colorado Springs, CO 80923-2628
Phone (719) 960-0363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999804COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC CurrentSince Aug 1, 2024 Accepting new patients
CS Cardiology Newco LLC CurrentSince Aug 1, 2024 Accepting new patients
CS Cardiology Newco LLC Past Accepting new patients
CS Cardiology Newco LLC Past Accepting new patients

Locations

1625 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 630-3276

1625 Medical Center Pt
Ste 240
Colorado Springs, CO 80907
Phone (719) 577-9063

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

904 E Hailey Ln
Ste C
Pueblo West, CO 81007

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1184467615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 MT HARVARD DR",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808313816",
            "telephone_number": "719-641-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078721",
            "telephone_number": "719-960-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0999804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.