Individual provider Active NPI

Ann Marie Chartrand, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1336678366
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0103742-C-NP Issued in CO
Practice address
3715 Parkmoor Village Dr Ste 102
Colorado Springs, CO 80917-5200
Phone
(719) 540-2127
Fax
(719) 666-7567
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2010035554 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2017031452 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0103742-C-NP CO Primary

Addresses

Primary practice location

3715 Parkmoor Village Dr Ste 102
Colorado Springs, CO 80917-5200

Mailing address

3715 Parkmoor Village Dr Ste 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000555 MO Practitioner - Nurse Practitioner 6608142740 Reassigns benefits to 1 organization
I20250624004170 CO Practitioner - Nurse Practitioner 6608142740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3715 Parkmoor Village Dr
Suite 102
Colorado Springs, CO 80917-5200
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010035554MOMDPsychiatric/Mental Health Registered Nurse
C-APN.0103742-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
2017031452MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince May 19, 2025 Accepting new patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince May 19, 2025 Accepting new patients

Locations

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

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": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1336678366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 PARKMOOR VILLAGE DR STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175200",
            "telephone_number": "719-540-2127",
            "fax_number": "719-666-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 PARKMOOR VILLAGE DR STE 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175200",
            "telephone_number": "719-540-2127",
            "fax_number": "719-666-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2010035554",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017031452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0103742-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.