Individual provider Active NPI

Marietta Estelle King, NP

  • Internal Medicine Physician
  • Montrose, CO
National Provider Identifier
1790550804
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
APN.0999306-NP Issued in CO
Practice address
800 S 3Rd St
Montrose, CO 81401-4212
Phone
(970) 765-6760
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APN.0999306-NP CO Primary

Addresses

Primary practice location

800 S 3Rd St
Montrose, CO 81401-4212

Mailing address

61844 Popular Rd
Montrose, CO 81403-9664
Phone (970) 765-6760

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
I20240104003199 CO Practitioner - Nurse Practitioner 9830540756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montrose Memorial Hospital, IncGroup PAC ID 1658272992, 148 clinicians

Practice addresses (Care Compare)

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Memorial Hospital, Inc CurrentSince Dec 21, 2023 Accepting new patients
Montrose Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Montrose Memorial Hospital,Inc CurrentSince Dec 21, 2023 Accepting new patients

Locations

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

Organizations & group practices 3

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1790550804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61844 POPULAR RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814039664",
            "telephone_number": "970-765-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "970-765-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARIETTA",
        "middle_name": "ESTELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "APN.0999306-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.