Active NPI
Chishamiso Constancia Magayisa, AGACNP
- Acute Care Nurse Practitioner
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0996454
- Practice address
- 14896 East 2ND Avenue
Apt. No. H203
Aurora, CO 80011 - Phone
- (720) 333-9648
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0185849 | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | 0996454 | CO | |
| Gerontology Nurse Practitioner | 363LG0600X | 0996454 | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | 0996454 | CO | Primary |
Addresses
Primary practice location
14896 East 2ND Avenue
Apt. No. H203
Aurora, CO 80011
Mailing address
14896 East 2ND Avenue
Apt. No. H203
Aurora, CO 80011
Phone (720) 333-9648
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1360 S Potomac St
Suite 100
Aurora, CO 80012-4505
Phone (303) 337-5575
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0185849 | CO | MD | Registered Nurse |
| 0996454 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Mauricio Waintrub, M.D., P.C | Multi-Specialty | Current | Accepting new patients |
| Archwell Health Professional Services of Colorado PC | Multi-Specialty | Current | Accepting new patients |
Locations
5017 W 64th Ave
Arvada, CO 80003
Phone (303) 970-2334
1360 S Potomac St
Ste 100
Aurora, CO 80012
7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148
1360 S Potomac St
Denver, CO 80012
Phone 30333755752023
5050 S Federal Blvd
Unit 38
Englewood, CO 80110
Phone (303) 879-8703
56441 E Colfax Ave
Strasburg, CO 80136
Phone (303) 622-9241
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- Internal Medicine Physician
- Arvada, CO
- NPI 1487485876
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
CO, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1841870748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14896 EAST 2ND AVENUE",
"address_2": "APT. NO. H203",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "720-333-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14896 EAST 2ND AVENUE",
"address_2": "APT. NO. H203",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "720-333-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGAYISA",
"first_name": "CHISHAMISO",
"middle_name": "CONSTANCIA",
"name_prefix": "Ms.",
"credential": "AGACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0185849",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "0996454",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "0996454",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "0996454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.