Individual provider Active NPI

Melissa Stephanie Sisko, APN

  • Family Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1518686351
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997867-NP Issued in CO
Practice address
10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742
Phone
(303) 993-1330
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997867-NP CO Primary

Addresses

Primary practice location

10900 W 44TH Ave Unit 200
Wheat Ridge, CO 80033-2742

Mailing address

2659 Quail St
Lakewood, CO 80215-7174
Phone (720) 209-5213

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220927000710 CO Practitioner - Nurse Practitioner 1355727538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (791) 776-6384

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Aug 1, 2023 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

990 E Harvard Ave
Denver, CO 80210
Phone (303) 777-7112

1010 Three Springs Blvd
Ste 200B
Durango, CO 81301
Phone (709) 764-3390

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

1950 Mountain View Ave
Ste 4
Longmont, CO 80501

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

4112 Outlook Blvd
Ste 250
Pueblo, CO 81008
Phone (719) 557-5455

Organizations & group practices 2

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 12

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1518686351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 QUAIL ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802157174",
            "telephone_number": "720-209-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 W 44TH AVE UNIT 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332742",
            "telephone_number": "303-993-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKO",
        "first_name": "MELISSA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997867-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.