Individual provider Active NPI

Mailin Sue Celestine, NP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1679050827
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994000-NP Issued in CO
Practice address
2864 S Circle Dr Ste 450
Colorado Springs, CO 80906-4170
Phone
(719) 776-8850
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994000-NP CO Primary

Addresses

Primary practice location

2864 S Circle Dr Ste 450
Colorado Springs, CO 80906-4170

Mailing address

7227 Lady Luck CT
Colorado Springs, CO 80923-5821
Phone (719) 200-1495

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
I20210630000639 CO Practitioner - Nurse Practitioner 8921409848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

6080 N Carefree Cir
230 Prpo PC Powers
Colorado Springs, CO 80906-3512
Phone (719) 517-1088

Hospital & facility affiliations

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994000-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Aug 9, 2021 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 9, 2021 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

2864 S Circle Dr
Ste 450
Colorado Springs, CO 80906
Phone (719) 776-8850

6080 N Carefree Cir
Colorado Springs, CO 80922
Phone (719) 550-9100

6080 N Carefree Cir
Ste 230
Colorado Springs, CO 80922
Phone (719) 517-1088

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

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.

Hospital & facility affiliations 2

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1679050827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 LADY LUCK CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809235821",
            "telephone_number": "719-200-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 S CIRCLE DR STE 450",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064170",
            "telephone_number": "719-776-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTINE",
        "first_name": "MAILIN",
        "middle_name": "SUE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994000-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.