Individual provider Active NPI

Mary Katherine Peiffer, NP

  • Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1790454601
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0996850 Issued in CO
Practice address
10450 Park Meadows Dr Ste 202
Lone Tree, CO 80124-5528
Phone
(303) 733-8848
NPI assigned
Sep 13, 2021
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0996850 CO Primary

Addresses

Primary practice location

10450 Park Meadows Dr Ste 202
Lone Tree, CO 80124-5528

Mailing address

10450 Park Meadows Dr Ste 202
Lone Tree, CO 80124-5528
Phone (303) 733-8848

Other identifiers 1

IdentifierTypeStateIssuer
9000198109MedicaidCO

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
I20210922000203 CO Practitioner - Nurse Practitioner 6204233034 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
Telehealth
Offers telehealth services
Group practices
Urology Associates IncGroup PAC ID 1456242502, 21 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

10450 Park Meadows Dr
Suite 202
Lone Tree, CO 80124-5528
Phone (303) 733-8848

400 Indiana St
Suite 340
Golden, CO 80401-5033
Phone (720) 452-1267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996850COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates Inc Urology CurrentSince Apr 14, 2025 Accepting new patients
Urology Associates Inc Urology CurrentSince Apr 14, 2025 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Advanced Urology, PLLC Urology Current Accepting new patients

Locations

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

799 E Hampden Ave
Ste 430
Englewood, CO 80113
Phone (303) 781-5299

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

7720 S Broadway
Ste 500
Littleton, CO 80122
Phone (303) 798-8107

10450 Park Meadows Dr
Ste 202
Lone Tree, CO 80124
Phone (303) 708-9911

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc05528_tricountyuroassoc
  • Direct secure messaging: marypeiffer@fu.allscriptsdirect.net

Organizations & group practices 6

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 4

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1790454601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR STE 202",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245528",
            "telephone_number": "303-733-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR STE 202",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245528",
            "telephone_number": "303-733-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFFER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000198109",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.