Individual provider Active NPI

Andrea Marie Mantick, FNP

  • Family Nurse Practitioner
  • Brighton, CO
National Provider Identifier
1720559842
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994370-NP Issued in CO
Practice address
1606 Prairie Center Pkwy Ste 310
Brighton, CO 80601-4004
Phone
(303) 659-5800
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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.0994370-NP CO Primary

Addresses

Primary practice location

1606 Prairie Center Pkwy Ste 310
Brighton, CO 80601-4004

Mailing address

1606 Prairie Center Pkwy Ste 310
Brighton, CO 80601-4004
Phone (303) 659-5800

Other names 1

  • Andrea M Jespersen 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
I20190129000301 CO Practitioner - Nurse Practitioner 1052658184 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
Platte Valley Internal Medicine and Pulmonary LLCGroup PAC ID 1456258433, 5 clinicians

Practice addresses (Care Compare)

1606 Prairie Ctr Pkwy
Suite 310
Brighton, CO 80601-4004
Phone 3036595800113

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Internal Medicine & Pulmonary LLC CurrentSince May 27, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCAEBA

Organizations & group practices 1

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 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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1720559842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 PRAIRIE CENTER PKWY STE 310",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014004",
            "telephone_number": "303-659-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PRAIRIE CENTER PKWY STE 310",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014004",
            "telephone_number": "303-659-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTICK",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994370-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JESPERSEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.