Active NPI
Teresa A Wilcox, APRN BC
- Adult Health Nurse Practitioner
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 77254
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09380051 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.96 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 77254 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| National Jewish South Denver | Past | 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.
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group OB/GYN at Littleton
- Obstetrics & Gynecology Physician
- Littleton, CO
- NPI 1619390200
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
-
- Hospitalist Physician
- Aurora, CO
- NPI 1720184690
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Multi-Specialty Clinic/Center
- Englewood, CO
- NPI 1043858889
-
dba AdventHealth Medical Group OB/GYN at Cornerstar
- Obstetrics & Gynecology Physician
- Aurora, CO
- NPI 1811289366
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1679513196
-
- Pulmonary Disease Physician
- Englewood, CO
- NPI 1275537706
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1184869901
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.