Individual provider Active NPI

Mary Evans

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1760143747
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-105582 Issued in AL
Practice address
9878 W Belleview Ave
Denver, CO 80123-2101
Phone
(720) 388-8263
Fax
(720) 216-2276
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-105582 AL Primary

Addresses

Primary practice location

9878 W Belleview Ave
Denver, CO 80123-2101

Mailing address

1103 Sanders Ave NE
Fort Payne, AL 35967-3011
Phone (256) 619-0798

Other practice location 1

1103 Sanders Ave NE
Fort Payne, AL 35967-3011
Phone (256) 619-0798

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
I20260114003461 CO Practitioner - Nurse Practitioner 5597268672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Courage Clinic, PLLCGroup PAC ID 6406398965, 3 clinicians

Practice addresses (Care Compare)

9878 W Belleview Ave
Suite 2242
Denver, CO 80123-2101
Phone (720) 388-8263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-105582ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Courage Clinic, PLLC Psychiatric/Mental Health CurrentSince Oct 8, 2025 Accepting new patients
North Alabama Family Psychiatry & Counseling Past Accepting new patients

Locations

9878 W Belleview Ave
Littleton, CO 80123
Phone (303) 978-1316

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1760143747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SANDERS AVE NE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673011",
            "telephone_number": "256-619-0798",
            "fax_number": "720-216-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 W BELLEVIEW AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "801232101",
            "telephone_number": "720-388-8263",
            "fax_number": "720-216-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Sanders Ave NE",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359673011",
            "country_code": "US",
            "telephone_number": "256-619-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-105582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.