Active NPI
Mary Ann Osborne, NP DNP
- Family Nurse Practitioner
- Co Springs, CO
National Provider Identifier
1578512745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 80120
- Practice address
- 1355 South 8TH Street
Suite 202
Co Springs, CO 80905 - Phone
- (719) 641-2919
- Fax
- (719) 687-1118
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4594 | CO | |
| Family Nurse Practitioner | 363LF0000X | 80120 | CO | Primary |
Addresses
Primary practice location
1355 South 8TH Street
Suite 202
Co Springs, CO 80905
Mailing address
1340 West Midland Avenue
Woodland Park, CO 80814
Phone (719) 641-2919
Other names 1
- Mary Ann Schwenka
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731000577 | CO | Order and Referring Only - Nurse Practitioner | 6406958602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4594 | CO | MD | Nurse Practitioner |
| 80120 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R Schroeder DO PC | Past | Accepting new patients |
Interoperability endpoints
- maryann.osborne@94272345210884.direct.elationemr.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Woodland Park, CO
- NPI 1528160934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1578512745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 WEST MIDLAND AVENUE",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "80814",
"telephone_number": "719-641-2919",
"fax_number": "719-687-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 SOUTH 8TH STREET",
"address_2": "SUITE 202",
"city": "CO SPRINGS",
"state": "CO",
"postal_code": "80905",
"telephone_number": "719-641-2919",
"fax_number": "719-687-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "NP DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "4594",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "80120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SCHWENKA",
"middle_name": "ANN",
"credential": "NP DNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Co Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.