Individual provider Active NPI

Marcie Lavigne, M.D.

  • Family Medicine Physician
  • Louisville, CO
National Provider Identifier
1386857746
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41205 Issued in CO
Practice address
1044 S 88TH St Ste 2
Louisville, CO 80027-9417
Phone
(303) 666-7119
Fax
(303) 666-0220
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41205 CO Primary

Addresses

Primary practice location

1044 S 88TH St Ste 2
Louisville, CO 80027-9417

Mailing address

1044 S 88TH St Ste 2
Louisville, CO 80027-9417
Phone (303) 666-7119

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014001211 CO Practitioner - Family Practice 3779727110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coal Creek Family MedicineGroup PAC ID 6709789480, 9 clinicians

Practice addresses (Care Compare)

1044 S 88TH St
Suite 200
Louisville, CO 80027-9445
Phone (303) 666-7119

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103
  • Boulder Community Health Hospital, Boulder, CO, CCN 060027
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41205COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coal Creek Family Medicine Family Medicine CurrentSince Apr 10, 2013 Accepting new patients
Coal Creek Family Medicine LLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
University Family Physicians, Inc. Family Medicine Past Accepting new patients

Locations

1044 S 88th St
Ste 200
Louisville, CO 80027
Phone (303) 666-7119

Interoperability endpoints

  • Direct secure messaging: marcie.lavigne.p5@direct.ipn.nextgenshare.com

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.

Hospital & facility affiliations 50

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1386857746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 2",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279417",
            "telephone_number": "303-666-7119",
            "fax_number": "303-666-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 S 88TH ST STE 2",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279417",
            "telephone_number": "303-666-7119",
            "fax_number": "303-666-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "MARCIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.