Individual provider Active NPI

Molly Cooper, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1366910952
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN-1621000 Issued in CO
Practice address
3207 N Academy Blvd, Suite 3100
Colorado Springs, CO 80917
Phone
(719) 632-5700
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0103696 CO
Acute Care Nurse Practitioner 363LA2100X RN-1621000 CO Primary

Addresses

Primary practice location

3207 N Academy Blvd, Suite 3100
Colorado Springs, CO 80917

Mailing address

6491 Bluffmont PT
Colorado Springs, CO 80923-8401
Phone (419) 704-0668

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
I20190404002281 CO Practitioner - Nurse Practitioner 4789925538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Springs Hospital, IncGroup PAC ID 7517877780, 11 clinicians

Practice addresses (Care Compare)

2135 Southgate Rd
Colorado Springs, CO 80906-2605
Phone (719) 633-4114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-1621000COMDAcute Care Nurse Practitioner
0103696COMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants, PC CurrentSince May 1, 2019 Accepting new patients
Cedar Springs Hospital, Inc Current Accepting new patients
Cedar Springs Hospital, Inc CurrentSince Sep 20, 2022 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

2135 Southgate Rd
Colorado Springs, CO 80906
Phone (719) 329-5353

5200 Dtc Pkwy
Ste 400
Greenwood Village, CO 80111
Phone (303) 745-0000

7100 E Belleview Ave
Ste G10
Greenwood Village, CO 80111
Phone (303) 745-0000

Organizations & group practices 4

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1366910952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6491 BLUFFMONT PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809238401",
            "telephone_number": "419-704-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 N ACADEMY BLVD, SUITE 3100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80917",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MOLLY",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "0103696",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "RN-1621000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.