NPIMap

Individual provider Active NPI

Mary Ducey Lohrmann, PA

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1649252537
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007276 Issued in CO
Practice address
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone
(719) 454-6010
Fax
(719) 258-1321
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 086001738 IL
Medical Physician Assistant 363AM0700X PA.0007276 CO Primary

Addresses

Primary practice location

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932

Mailing address

PO Box 746081
Atlanta, GA 30374-6081
Phone (312) 733-9730

Other practice location 1

2003 W Fulton St
3rd Floor
Chicago, IL 60612-2345
Phone (773) 292-4800

Other practice location 2

18 Chicago Ave
Oak Park, IL 60302-2402
Phone (773) 253-3933

Other identifiers 1

IdentifierTypeStateIssuer
550894537OtherINTAX ID

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
I20221018001047 CO Practitioner - Physician Assistant 4284600503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2087 S Federal Blvd
Denver, CO 80219-5429
Phone (720) 463-6754

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

5996 E 64TH Ave
Oak Street Health Commerce City
Commerce City, CO 80022-3317
Phone (720) 463-6758

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
865GAMDPhysical Therapist
PA.0007276COMDMedical Physician Assistant
086001738ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Il Physicians Group LLC CurrentSince Mar 1, 2021 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Nov 14, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC CurrentSince Nov 14, 2022 Accepting new patients
Vpa PC Past Accepting new patients
Vpa PC Past Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

18 Chicago Ave
Oak Park, IL 60302
Phone (773) 253-3933

Interoperability endpoints

  • Direct secure messaging: mary.lohrmann.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: mary.lohrmann.p1@direct.alegiscare.nextgenshare.com

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1649252537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746081",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746081",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182932",
            "telephone_number": "719-454-6010",
            "fax_number": "719-258-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W Fulton St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122345",
            "country_code": "US",
            "telephone_number": "773-292-4800",
            "fax_number": "773-292-0052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022402",
            "country_code": "US",
            "telephone_number": "773-253-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOHRMANN",
        "first_name": "MARY",
        "middle_name": "DUCEY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "086001738",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550894537",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.