Individual provider Active NPI

Bridget Mary Coyne, MSN CRNP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1417032368
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0100073-C-NP Issued in CO
Practice address
3920 North Union Blvd
Suite 150
Colorado Springs, CO 80907
Phone
(719) 598-8155
Fax
(719) 598-3188
NPI assigned
Oct 26, 2006
Last updated
Jun 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0100073-C-NP CO Primary

Addresses

Primary practice location

3920 North Union Blvd
Suite 150
Colorado Springs, CO 80907

Mailing address

3920 North Union Blvd
Suite 150
Colorado Springs, CO 80907
Phone (719) 598-8155

Other identifiers 1

IdentifierTypeStateIssuer
345952MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080617000338 NM Practitioner - Nurse Practitioner 8426129586 Reassigns benefits to 3 organizations
I20150416001407 CO Practitioner - Nurse Practitioner 8426129586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

4705 Montgomery Blvd NE
Suite 201
Albuquerque, NM 87109-1233
Phone (505) 727-7833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0100073-C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Pain Consultants LLC CurrentSince May 2, 2016 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 12, 2011 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jun 28, 2021 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 12, 2011 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Jun 28, 2021 Accepting new patients
Peak Vista Community Health Centers CurrentSince Mar 2, 2020 Accepting new patients
Peak Vista Community Health Centers CurrentSince Mar 2, 2020 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2955 Professional Pl
Ste 100
Colorado Springs, CO 80904
Phone (719) 375-5400

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

350 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 596-2020

3920 N Union Blvd
Ste 150
Colorado Springs, CO 80907
Phone (719) 598-8155

4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

3715 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 224-7000

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

Interoperability endpoints

  • Direct secure messaging: bcoyne357142@ahs.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1417032368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 NORTH UNION BLVD",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-598-8155",
            "fax_number": "719-598-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 NORTH UNION BLVD",
            "address_2": "SUITE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-598-8155",
            "fax_number": "719-598-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "BRIDGET",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSN CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0100073-C-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345952",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.