Individual provider Active NPI

Loretta Mick

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1942914338
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998174-NP Issued in CO
Practice address
1321 Jackson St
Denver, CO 80206-2715
Phone
(303) 870-6497
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998174-NP CO Primary

Addresses

Primary practice location

1321 Jackson St
Denver, CO 80206-2715

Mailing address

1321 Jackson St
Denver, CO 80206-2715
Phone (303) 870-6497

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
I20230906001851 CO Practitioner - Nurse Practitioner 6305209594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goodness Health, LLCGroup PAC ID 1850694985, 61 clinicians

Practice addresses (Care Compare)

925 N Lincoln St
Apt 15a
Denver, CO 80203-2768
Phone (720) 500-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0998174-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 30, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 30, 2023 Accepting new patients
Goodness Health, LLC CurrentSince Jan 26, 2026 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jul 23, 2023 Accepting new patients
Goodness Health, LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

2810 Quebec St
Denver, CO 80207
Phone (303) 333-3837

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: loretta.mick@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1942914338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062715",
            "telephone_number": "303-870-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062715",
            "telephone_number": "303-870-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "LORETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998174-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.