NPIMap

Individual provider Active NPI

Marie Peterson, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1407405152
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005944 Issued in CO
Practice address
2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone
(720) 524-1367
Fax
(720) 524-1422
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005944 CO Primary

Addresses

Primary practice location

2535 S Downing St Ste 100
Denver, CO 80210-5848

Mailing address

2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone (720) 524-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112002133 CO Practitioner - Physician Assistant 3577995638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

1259 Lake Plaza Dr
Suite 100
Colorado Springs, CO 80906-3542
Phone (719) 632-7669

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

2535 S Downing St
100 Cojr Colo Joint Replmt
Denver, CO 80210-5848
Phone (720) 524-1367

406 E Grace Ave
Select Physical Therapy
Woodland Park, CO 80863-3127
Phone (719) 687-3767

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

5825 Delmonico Dr
Suite 100
Colorado Springs, CO 80919-2243
Phone (719) 257-4240

9695 S Yosemite St
Lone Tree, CO 80124-2890

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
70.6
Promoting interoperability
99
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Orthopaedic Group CurrentSince May 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 23, 2026 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 23, 2026 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince May 1, 2021 Accepting new patients
Colorado Springs Orthopaedic Group Past Accepting new patients

Locations

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

1655 Quail Lake Loop
Colorado Springs, CO 80906
Phone (719) 417-4931

2535 S Downing St
Ste 100
Denver, CO 80210
Phone (720) 524-1367

2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367

Interoperability endpoints

  • Direct secure messaging: mpeterson@csog.emadirect.md

Organizations & group practices 6

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1407405152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105848",
            "telephone_number": "720-524-1367",
            "fax_number": "720-524-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105848",
            "telephone_number": "720-524-1367",
            "fax_number": "720-524-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.