NPIMap

Organization Active NPI

Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Centennial, CO
National Provider Identifier
1467016907
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MOSAIC INFUSION SOLUTIONS LLC
Practice address
7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931
Phone
(720) 456-3989
Fax
(833) 871-9247
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Jennifer Yowler
Title
President
Phone
(502) 627-7100

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931

Mailing address

6912 S Quentin St Ste 50
Centennial, CO 80112-4531
Phone (720) 282-5411

Other identifiers 1

IdentifierTypeStateIssuer
9000177601MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729002761 CO Part B Supplier - Clinic/Group Practice 3173859147 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Centennial, CO; Westminster, CO; Colorado Springs, CO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mosaic Infusion Solutions5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1925 W Orange Grove Rd
Ste 106
Tucson, AZ 85704
Phone (520) 575-7511

7307 S Revere Pkwy
Centennial, CO 80112

2270 Garden of the Gods Rd
Colorado Springs, CO 80907

2270 Garden of the Gods Rd
Ste 1
Colorado Springs, CO 80907

4150 S Harvard Ave
Ste G1
Tulsa, OK 74135
Phone (918) 863-2731

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1467016907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 S QUENTIN ST STE 50",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124531",
            "telephone_number": "720-282-5411",
            "fax_number": "877-302-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S REVERE PKWY STE 201",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123931",
            "telephone_number": "720-456-3989",
            "fax_number": "833-871-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC INFUSION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "YOWLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-627-7100"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000177601",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.