Individual provider Active NPI

Mary Grace Levy, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1245914001
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998523-NP Issued in CO
Practice address
2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone
(719) 227-0027
Fax
(719) 955-4058
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998523-NP CO Primary

Addresses

Primary practice location

2920 N Cascade Ave
Colorado Springs, CO 80907-6262

Mailing address

5021 Copen Dr
Colorado Springs, CO 80922-2127
Phone (702) 637-8531

Other practice location 1

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 227-0027

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230809000070 CO Practitioner - Nurse Practitioner 2961598230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Associates of Colorado Springs PCGroup PAC ID 8022024702, 2 clinicians

Practice addresses (Care Compare)

2920 N Cascade Ave
Suite 2
Colorado Springs, CO 80907-6262
Phone (719) 227-0027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998523-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pikes Peak Discharge Clinic CurrentSince Jan 1, 2025 Accepting new patients
Internal Medicine Associates of Colorado Springs PC CurrentSince Jan 1, 2025 Accepting new patients
Pankaj Nashikkar MD LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

2920 N Cascade Ave
Ste 2
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Fl 2
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Ste 201
Colorado Springs, CO 80907
Phone (719) 227-0027

2920 N Cascade Ave
Colorado Springs, CO 80907
Phone (719) 636-3937

Interoperability endpoints

  • Direct secure messaging: marylevy@smcpc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1245914001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 COPEN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222127",
            "telephone_number": "702-637-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N Cascade Ave",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076262",
            "country_code": "US",
            "telephone_number": "719-227-0027",
            "fax_number": "719-955-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998523-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.