NPIMap

Individual provider Active NPI

Monica Taylor Bullock, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1619409232
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
DR.0061153 Issued in CO
Practice address
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone
(719) 776-5646
Fax
(719) 776-8050
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DR.0061153 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Mailing address

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-5646

Other identifiers 1

IdentifierTypeStateIssuer
9000165318MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928001175 CO Practitioner - Hospice/Palliative CarePractitioner - Family Practice 4082965132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102

8289 E Lowry Blvd
Denver, CO 80230-7256

9100 E Mineral Cir
Centennial, CO 80112-3401

Hospital & facility affiliations

  • Abode Hospice of Colorado Hospice, Pueblo, CO, CCN 061616
  • Abode Hospice of Colorado Hospice, Colorado Springs, CO, CCN 061590
  • Adventhealth Hospice Hospice, Littleton, CO, CCN 061517
  • Hospice of the Valley Hospice, Glenwood Springs, CO, CCN 061567
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2022 Accepting new patients
Pahs Service Corporation CurrentSince Jan 4, 2026 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2022 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Fl 6
Colorado Springs, CO 80907
Phone (719) 776-6260

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

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

5020 E Arapahoe Rd
Littleton, CO 80122
Phone (303) 694-3545

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1619409232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-776-5646",
            "fax_number": "719-776-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-776-5646",
            "fax_number": "719-776-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MONICA",
        "middle_name": "TAYLOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0061153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000165318",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.