Individual provider Active NPI

Teresa A Wilcox, APRN BC

  • Adult Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1316941735
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
77254 Issued in CO
Practice address
777 Bannock St
MC 1914
Denver, CO 80204-4507
Phone
(303) 436-6000
Fax
(303) 602-3900
NPI assigned
Jun 13, 2005
Last updated
Sep 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 77254 CO Primary

Addresses

Primary practice location

777 Bannock St
MC 1914
Denver, CO 80204-4507

Mailing address

777 Bannock St
MC 0960
Denver, CO 80204-4507
Phone (303) 602-3892

Other identifiers 1

IdentifierTypeStateIssuer
09380051MedicaidCO

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
I20090714000349 CO Practitioner - Nurse Practitioner 5991857468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77254COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2018 Accepting new patients
National Jewish South Denver PastSince Dec 15, 2019 Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients
South Denver Pulmonary Associates PC Past Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Past Accepting new patients
Diagnostic Imaging Associates Past Accepting new patients
Inpatient Consultants of Colorado, PC Nurse Practitioner Past Accepting new patients
Radiology Imaging Associates, PC Past Accepting new patients
Inpatient Consultants of Colorado PC Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2535 S Downing St
Ste 380
Denver, CO 80210
Phone (303) 260-2740

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1316941735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC 0960",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-602-3892",
            "fax_number": "303-602-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "address_2": "MC 1914",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000",
            "fax_number": "303-602-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "77254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09380051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.