Myra Colakovic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

7009 Issued in MN

Practice address

309 Holly LN
Mankato, MN 56001-5422

Phone

(507) 388-2120

NPI assigned

Jan 15, 2020

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

University of Minnesota Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Door Health CenterGroup PAC ID 7012944085, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myra.colakovic.1@24934.direct.athenahealth.com
• Direct secure messaging: myracolakovic@odhc.allscriptsdirect.net

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.

• Open Door Health Center

  • Federally Qualified Health Center (FQHC)
  • Mankato, MN
  • NPI 1891740908
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Minnesota, North Dakota, South Dakota

  • Non-Surgical Family Planning Clinic/Center
  • Saint Paul, MN
  • NPI 1629057146
  Medicare reassignment NPD
• Open Door Health Center

  • Federally Qualified Health Center (FQHC)
  • Shakopee, MN
  • NPI 1114446283
  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1881234003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015422",
            "telephone_number": "507-388-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAKOVIC",
        "first_name": "MYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "7009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Clifford, CNP
• Andrew Reamonn Clingerman
• Stuart E Clive, MD
• CN Enterprises, Inc. (Metro Medical Homecare)
• Kevin Cockerill, MD
• Elizabeth Coleman, NP
• Meghan M Coleman, D.C.
• Kaitlyn Collins
• Meghan Bouquet Collins, DPT
• Comfor at Home Care Service LLC (Comfort At Home Care Service LLC)

• Nurse Practitioner in Mankato, MN
• Providers in Mankato, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.

Verify at the official NPI Registry.