Individual provider Active NPI

Lisamarie Martinez

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1356934384
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998117-NP Issued in CO
Practice address
3333 Regis Blvd # G-8
Denver, CO 80221-8926
Phone
(303) 458-4187
NPI assigned
Feb 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998117-NP CO Primary

Addresses

Primary practice location

3333 Regis Blvd # G-8
Denver, CO 80221-8926

Mailing address

3333 Regis Blvd # G-8
Denver, CO 80221-8926
Phone (303) 458-4187

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
I20221229001409 CO Practitioner - Nurse Practitioner 4688044084 Reassigns benefits to 2 organizations

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
Summit Community Care Clinic IncGroup PAC ID 8022284074, shared by 8 NPIs, 13 clinicians

Practice addresses (Care Compare)

PO Box
Suite 4337
Frisco, CO 80443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 9, 2023 Accepting new patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Oct 17, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Jan 9, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Oct 17, 2024 Accepting new patients
Arapahoe Mental Health Center, Inc Current Accepting new patients

Locations

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

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

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 5

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": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1356934384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 REGIS BLVD # G-8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802218926",
            "telephone_number": "303-458-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 REGIS BLVD # G-8",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802218926",
            "telephone_number": "303-458-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "LISAMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998117-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.