Colleen Mintz, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0994852-NP Issued in CO

Practice address

360 Peak One Drive
Suite 180
Frisco, CO 80443-1303

Phone

(970) 477-4451

Fax

(970) 477-7408

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colleen Kane Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vail Health Hospital Hospital, Vail, CO, CCN 060096

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Avon, CO
  • NPI 1730747445
  Medicare reassignment Care Compare group NPD
• Colorado Mountain Medical, LLC

  • Multi-Specialty Clinic/Center
  • Frisco, CO
  • NPI 1073139267
  NPD
• Colorado Mountain Medical, LLC

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1326793076
  NPD
• Colorado Mountain Medical, PC

  • Family Medicine Physician
  • Avon, CO
  • NPI 1083675102
  NPD (past)

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

• Vail Clinic Inc

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1245892033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804431303",
            "telephone_number": "970-477-4451",
            "fax_number": "970-477-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DRIVE",
            "address_2": "SUITE 180",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804431303",
            "telephone_number": "970-477-4451",
            "fax_number": "970-477-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Edwards Village II, B-105",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "81632",
            "country_code": "US",
            "telephone_number": "970-477-4451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 S Frontage Rd W Ste 206",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575086",
            "country_code": "US",
            "telephone_number": "970-455-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994852-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO RN LICENSE",
            "identifier": "RN.0188109",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.vsortho.com",
            "affiliation": "N",
            "address_1": "360 Peak One Drive",
            "address_2": "Suite 180",
            "city": "FRISCO",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804431303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "KANE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Frisco, CO
• Providers in Frisco, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.