Mary S Riccelli, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN0004954 Issued in CO

Practice address

10290 S Progress Way Ste 208
Parker, CO 80134-9056

Phone

(720) 317-9460

Fax

(877) 268-5001

NPI assigned

Jul 12, 2006

Last updated

May 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary S Carista Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melioradirecthealth@direct.practicefusion.com

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.

• Meliora Direct Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
  • NPI 1427677194
  Authorized official Same address or phone
• Denver Springs Physician Group, LLC

  • Psychiatry Physician
  • Englewood, CO
  • NPI 1851030795
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1407871643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 PAWLING AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805832",
            "telephone_number": "720-317-9460",
            "fax_number": "877-268-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 S PROGRESS WAY STE 208",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349056",
            "telephone_number": "720-317-9460",
            "fax_number": "877-268-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCELLI",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN0004954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41929705",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10290 S Progress Way Ste 208",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801349056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MelioraDirectHealth@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10290 S Progress Way Ste 208",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801349056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CARISTA",
            "middle_name": "S",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ann Revier, O.D.
• Armando Santos Reyes, ANP
• Daniel Reyes
• Andrea Reynolds
• Janice GS Reynolds, LIC. AC.
• Cricket Rice, LCSW
• Jana Richardson, M.A.,L.P.C.
• Jo Ellen Richardson
• Paige Richardson
• Brian Michael Richter, DMD

• Psychiatric/Mental Health Nurse Practitioner in Parker, CO
• Providers in Parker, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.