Organization Active NPI

Mark Baravik FNP LLC

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1235683038
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0990941 Issued in CO
Legal business name
MARK BARAVIK FNP LLC
Practice address
1550 S Potomac St Ste 110
Aurora, CO 80012-5433
Phone
(303) 536-5020
Fax
(888) 571-6309
NPI assigned
Aug 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Mark BaravikNPI 1033547252
Title
Owner
Phone
(303) 536-5020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 0990941 CO Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APN0990941

Addresses

Primary practice location

1550 S Potomac St Ste 110
Aurora, CO 80012-5433

Mailing address

1550 S Potomac St Ste 110
Aurora, CO 80012-5433
Phone (303) 536-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170124002859 CO Part B Supplier - Clinic/Group Practice 9739461864 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Aurora, CO; Colorado Springs, CO

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGGBDD
  • FHIR API: https://api.platform.athenahealth.com/14303/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1235683038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125433",
            "telephone_number": "303-536-5020",
            "fax_number": "888-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125433",
            "telephone_number": "303-536-5020",
            "fax_number": "888-571-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BARAVIK FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "BARAVIK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-536-5020"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990941",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": "APN0990941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.