Active NPI
Marisa K Phillips, NP
- Family Nurse Practitioner
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-10041
- Practice address
- 3676 Parker Blvd
Pueblo, CO 81008-2212 - Phone
- (719) 553-2206
- Fax
- (719) 553-2226
- NPI assigned
- Jul 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-10041 | CO | Primary |
Addresses
Primary practice location
3676 Parker Blvd
Pueblo, CO 81008-2212
Mailing address
5108 Athos CT
Pueblo, CO 81005-1418
Phone (719) 564-9565
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161
2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333
6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-10041 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients | |
| Usacs of Colorado Inc | Current | Accepting new patients | |
| Usacs of Colorado, Inc | Current | Accepting new patients |
Locations
10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Emergency Medicine Physician
- Littleton, CO
- NPI 1760415871
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1720614217
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Mary-Corwin Hospital
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba St. Mary-Corwin Wound Care Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
dba Centura Health - St. Mary Corwin Hospital
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1770712648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 ATHOS CT",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810051418",
"telephone_number": "719-564-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3676 PARKER BLVD",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082212",
"telephone_number": "719-553-2206",
"fax_number": "719-553-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MARISA",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "NP-10041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.