Active NPI
Ian Mathew Morlock, NP
- Acute Care Nurse Practitioner
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1000158-NP
- Practice address
- 5387 Manhattan Cir
Boulder, CO 80303-4284 - Phone
- (303) 494-7773
- NPI assigned
- Apr 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN-1632168 | CO | |
| Acute Care Nurse Practitioner | 363LA2100X | 1000158-NP | CO | Primary |
Addresses
Primary practice location
5387 Manhattan Cir
Boulder, CO 80303-4284
Mailing address
541 College St
Boulder, CO 80302-8713
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
- University of Colorado School of Medicine, Aurora, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 E 19TH Ave
Suite 300
Denver, CO 80218-1251
Phone (720) 754-4800
5387 Manhattan Cir
Suite 200
Boulder, CO 80303-4283
Phone (303) 494-7773
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-1632168 | CO | MD | Oncology Registered Nurse |
| 1000158-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine West a Professional LLC | Current | Accepting new patients | |
| Healthone Clinic Services - Oncology Hematology LLC | Current | Accepting new patients |
Locations
5387 Manhattan Cir
Ste 200
Boulder, CO 80303
Phone (303) 494-1104
5387 Manhattan Cir
Ste 100B
Boulder, CO 80303
Phone (303) 494-7733
5387 Manhattan Cir
Boulder, CO 80303
Phone (303) 373-2008
1721 E 19th Ave
Ste 300
Denver, CO 80218
Phone (720) 748-4800
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Denver, CO
- NPI 1376873208
-
- Physical Medicine & Rehabilitation Physician
- Boulder, CO
- NPI 1427091206
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1962031666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 COLLEGE ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803028713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5387 MANHATTAN CIR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803034284",
"telephone_number": "303-494-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORLOCK",
"first_name": "IAN",
"middle_name": "MATHEW",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "CO",
"license": "RN-1632168",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "1000158-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.