Individual provider Active NPI

Abigail McNulty

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1306589387
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
997962 Issued in CO
Practice address
1721 E 19TH Ave Ste 300
Denver, CO 80218-1258
Phone
(720) 754-4800
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 997962 CO Primary

Addresses

Primary practice location

1721 E 19TH Ave Ste 300
Denver, CO 80218-1258

Mailing address

1721 E 19TH Ave Ste 300
Denver, CO 80218-1258
Phone (720) 754-4800

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
I20221115002555 CO Practitioner - Nurse Practitioner 9032587514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Oncology Hematology LLCGroup PAC ID 9436293461, 47 clinicians

Practice addresses (Care Compare)

1721 E 19TH Ave
Suite 300
Denver, CO 80218-1251
Phone (720) 754-4800

Hospital & facility affiliations

  • HCA HealthOne Presbyterian St. Lukes Hospital, Denver, CO, CCN 060014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
997962COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Oncology Hematology LLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

1721 E 19th Ave
Ste 300
Denver, CO 80218
Phone (720) 748-4800

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1306589387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181258",
            "telephone_number": "720-754-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181258",
            "telephone_number": "720-754-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "997962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.