Active NPI
Molly Cooper, AGACNP-BC
- Acute Care Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN-1621000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-1621000 | CO | MD | Acute Care Nurse Practitioner |
| 0103696 | CO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care & Pulmonary Consultants, PC | Current | Accepting new patients | |
| Cedar Springs Hospital, Inc | Current | Accepting new patients | |
| Cedar Springs Hospital, Inc | Current | Accepting new patients | |
| Philippe G Lopez MD PC | Past | 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.
-
- Psychiatric Hospital
- Colorado Springs, CO
- NPI 1992752133
-
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1477166833
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1033135520
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenwood Village, CO
- NPI 1871526897
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.