Individual provider Active NPI

Shari Lynn Nieman Corso, NP

  • Acute Care Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1629214713
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
105151 Issued in CO
Practice address
1000 Southpark Dr
Littleton, CO 80120-5654
Phone
(303) 744-1065
Fax
(303) 733-1699
NPI assigned
Dec 19, 2008
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 105151 CO Primary

Addresses

Primary practice location

1000 Southpark Dr
Littleton, CO 80120-5654

Mailing address

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

Other identifiers 1

IdentifierTypeStateIssuer
105151OtherCOCOLORADO LISCENSE

Other names 1

  • Shari Lynn Nieman 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
I20110629000810 CO Practitioner - Nurse Practitioner 6204014863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105151COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 10, 2011 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 10, 2011 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

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

425 S Cherry St
Ste 410
Glendale, CO 80246
Phone (303) 333-3388

1000 Southpark Dr
Littleton, CO 80120
Phone (303) 715-2245

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1629214713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205654",
            "telephone_number": "303-744-1065",
            "fax_number": "303-733-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205654",
            "telephone_number": "303-744-1065",
            "fax_number": "303-733-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMAN CORSO",
        "first_name": "SHARI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "105151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LISCENSE",
            "identifier": "105151",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "NIEMAN",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.