Individual provider Active NPI

Arely Mendez Ponce

  • Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1700456282
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0996768-NP Issued in CO
Practice address
601 E Hampden Ave
Englewood, CO 80113-3781
Phone
(706) 863-9595
Fax
(706) 868-8375
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0996768-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0996768-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0996768-NP CO
Nurse Practitioner 363L00000X APN.0996768-NP CO Primary

Addresses

Primary practice location

601 E Hampden Ave
Englewood, CO 80113-3781

Mailing address

PO Box 12330
Augusta, GA 30914-2330
Phone (706) 863-9595

Other practice location 1

501 E Hampden Ave
Englewood, CO 80113-2702
Phone (706) 863-9595

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
I20211201001153 CO Practitioner - Nurse Practitioner 4789074030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Surgical Service PCGroup PAC ID 7416844311, 15 clinicians

Practice addresses (Care Compare)

400 Indiana St
Suite 200
Golden, CO 80401-5027
Phone (303) 940-8200

4350 Wadsworth Blvd
Suite 401
Wheat Ridge, CO 80033-4638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.22 of 100Reported as group
Quality
80.56
Improvement activities
40
Cost
93.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Trauma Services PC CurrentSince Jul 12, 2024 Accepting new patients
Colorado Surgical Service PC CurrentSince Jul 12, 2024 Accepting new patients
Colorado Surgical Service PC CurrentSince Jul 12, 2024 Accepting new patients
Burn and Reconstructive Centers of Colorado CurrentSince Jul 4, 2021 Accepting new patients
Colorado Trauma Services PC CurrentSince Jul 12, 2024 Accepting new patients
Colorado Surgical Service PC Current Accepting new patients
Colorado Surgical Service PC Past Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

601 E Hampden Ave
Ste 310
Englewood, CO 80113
Phone (303) 788-6466

400 Indiana St
Ste 200
Golden, CO 80401
Phone (303) 467-1400

4350 Wadsworth Blvd
Ste 401
Wheat Ridge, CO 80033
Phone (720) 996-0780

3455 Lutheran Pkwy
Ste 290
Wheat Ridge, CO 80033
Phone (303) 467-1400

Interoperability endpoints

  • Direct secure messaging: arely.mendezponce@hca3.eclinicaldirectplus.com

Organizations & group practices 7

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 5

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1700456282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12330",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309142330",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132702",
            "country_code": "US",
            "telephone_number": "706-863-9595",
            "fax_number": "706-868-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ PONCE",
        "first_name": "ARELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996768-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0996768-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0996768-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996768-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.