Individual provider Active NPI

Ian Mathew Morlock, NP

  • Acute Care Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1962031666
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1000158-NP Issued in CO
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

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603001243 CO Practitioner - Nurse Practitioner 1951810894 Reassigns benefits to 2 organizations

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
Healthone Clinic Services - Oncology Hematology LLCGroup PAC ID 9436293461, 47 clinicians
Spine West a Professional LLCGroup PAC ID 0749264968, 9 clinicians

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

LicenseStateTypeSpecialty
RN-1632168COMDOncology Registered Nurse
1000158-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine West a Professional LLC CurrentSince Apr 22, 2025 Accepting new patients
Healthone Clinic Services - Oncology Hematology LLC CurrentSince Jan 5, 2026 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.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

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

Verify at the official NPI Registry.