Marlene Alice Pino, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0993043-NP Issued in CO

Practice address

7114 W Jefferson Ave Ste 200
Lakewood, CO 80235-2356

Phone

(720) 710-7332

Fax

(720) 306-5332

NPI assigned

Aug 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marlene Alice Imes Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marlene.pino.1@28124.direct.athenahealth.com

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.

• Red Rocks Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
  • NPI 1851080089
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1508310558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352356",
            "telephone_number": "720-710-7332",
            "fax_number": "720-306-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 W JEFFERSON AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352356",
            "telephone_number": "720-710-7332",
            "fax_number": "720-306-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 Independence St",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336715",
            "country_code": "US",
            "telephone_number": "303-425-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINO",
        "first_name": "MARLENE",
        "middle_name": "ALICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0993043-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "IMES",
            "middle_name": "ALICE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Quinn Piibe, MD
• Mary Pike, MA, LPC
• Julie Ann Pimple, COTA
• Kenneth Piner
• Pinnacle Interventional Psychiatry
• Pinon Imaging of New Mexico LLC
• Amysue Pinto, RN
• Kiranmayi Padmaja Pires, PA-C
• Samantha B Piro
• Brianna Pittman, LAT, ATC

• Psychiatric/Mental Health Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, 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 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.