Active NPI
Adrienne Wilson Mann, MD
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1972892909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0052682
- Practice address
- 1700 N Wheeling Street
Mail Stop 111
Denver, CO 80045 - Phone
- (303) 594-6168
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0052682 | CO | Primary |
Addresses
Primary practice location
1700 N Wheeling Street
Mail Stop 111
Denver, CO 80045
Mailing address
1700 N Wheeling Street
Mailstop 111
Denver, CO 80045
Phone (303) 399-8020
Other practice location 1
13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-6031
Other practice location 2
1055 Clermont St
Denver, CO 80220-3808
Phone (303) 399-8020 ext. 2396
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131115001578 | CO | Order and Referring Only - Internal Medicine | 8224264486 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0052682 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1972892909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N WHEELING STREET",
"address_2": "MAILSTOP 111",
"city": "DENVER",
"state": "CO",
"postal_code": "80045",
"telephone_number": "303-399-8020",
"fax_number": "303-393-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N WHEELING STREET",
"address_2": "MAIL STOP 111",
"city": "DENVER",
"state": "CO",
"postal_code": "80045",
"telephone_number": "303-594-6168"
}
],
"practiceLocations": [
{
"address_1": "13001 E 17th Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452570",
"country_code": "US",
"telephone_number": "303-724-6031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 Clermont St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802203808",
"country_code": "US",
"telephone_number": "303-399-8020 x2396",
"fax_number": "303-393-5199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "ADRIENNE",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "0052682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.