Individual provider Active NPI

Mary Ann Osborne, NP DNP

  • Family Nurse Practitioner
  • Co Springs, CO
National Provider Identifier
1578512745
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
80120 Issued in CO
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

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20140731000577 CO Order and Referring Only - Nurse Practitioner 6406958602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4594COMDNurse Practitioner
80120COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William R Schroeder DO PC PastSince Aug 11, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.