Individual provider Active NPI

Chishamiso Constancia Magayisa, AGACNP

  • Acute Care Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1841870748
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0996454 Issued in CO
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

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0185849 CO
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 0996454 CO
Gerontology Nurse Practitioner 363LG0600X 0996454 CO
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301000172 CO Practitioner - Nurse Practitioner 0941694301 Reassigns benefits to 3 organizations

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
Mauricio Waintrub, M.D., P.CGroup PAC ID 0042118192, 27 clinicians

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0185849COMDRegistered Nurse
0996454COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Mauricio Waintrub, M.D., P.C Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Archwell Health Professional Services of Colorado PC Multi-Specialty CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.