Individual provider Active NPI

Nicole A Mezo, PA

  • Specialist
  • Denver, CO
National Provider Identifier
1861702441
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
125 Rampart Way
Suite 200
Denver, CO 80230
Phone
(720) 858-7557
Fax
(720) 858-7615
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

125 Rampart Way
Suite 200
Denver, CO 80230

Mailing address

14000 E Arapahoe Rd
Ste 240
Centennial, CO 80112
Phone (303) 632-3694

Other identifiers 1

IdentifierTypeStateIssuer
892OtherCOCOLORADO LICENSE

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
I20110214000143 CO Practitioner - Physician Assistant 0446430136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

13111 E Briarwood Ave
Suite 340
Centennial, CO 80112-3913
Phone (303) 632-3694

9331 S Colorado Blvd
Suite 100
Highlands Ranch, CO 80126-7465
Phone (303) 795-8177

Merit-based Incentive Payment System (MIPS)

Final score
64.87 of 100Reported as group
Quality
41.92
Promoting interoperability
62
Improvement activities
40
Cost
72.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers Medical Past Accepting new patients
Colorado Allergy and Asthma Centers, PC Specialist PastSince Jul 25, 2021 Accepting new patients
Colorado Allergy and Asthma Centers, PC Specialist PastSince Jul 25, 2021 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1861702441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD",
            "address_2": "STE 240",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-632-3694",
            "fax_number": "303-632-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "720-858-7557",
            "fax_number": "720-858-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZO",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "892",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.