Active NPI
Carissa Reanna Martinez, FNP
- Nurse Practitioner
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0993330-NP
- Practice address
- 4800 Baseline Rd Ste D106
Boulder, CO 80303-2643 - Phone
- (303) 499-4800
- NPI assigned
- Jul 14, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0200426 | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0993330-NP | CO | |
| Nurse Practitioner | 363L00000X | 0993330-NP | CO | Primary |
Addresses
Primary practice location
4800 Baseline Rd Ste D106
Boulder, CO 80303-2643
Mailing address
4800 Baseline Rd Ste D106
Boulder, CO 80303-2643
Phone (303) 499-4800
Other practice location 1
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-3761
Other names 1
- Carissa Reanna Lopez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmartinez@rm-uc.com |
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
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-3761
Hospital & facility affiliations
- Centura Health-St Anthony North Health Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0200426 | CO | MD | Registered Nurse |
| 0993330-NP | CO | MD | Nurse Practitioner |
| APN.0993330-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Urgent Care Lakewood Inc | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Urgent Care Lakewood Inc | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523
12105 W Alameda Pkwy
Ste 100
Lakewood, CO 80228
Phone (303) 988-3600
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 9
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
- Urgent Care Clinic/Center
- Lakewood, CO
- NPI 1902263908
-
- Orthopaedic Surgery Physician
- Colorado Springs, CO
- NPI 1013526789
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1972981462
-
- Urgent Care Clinic/Center
- Thornton, CO
- NPI 1104436278
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1013557545
-
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1093355604
Hospital
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1568002095
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1831739440
-
- General Acute Care Hospital
- Westminster, CO
- NPI 1912547449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1982126595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BASELINE RD STE D106",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032643",
"telephone_number": "303-499-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 BASELINE RD STE D106",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032643",
"telephone_number": "303-499-4800"
}
],
"practiceLocations": [
{
"address_1": "14300 Orchard Pkwy",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "CO",
"postal_code": "800239206",
"country_code": "US",
"telephone_number": "720-627-3761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CARISSA",
"middle_name": "REANNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0200426",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0993330-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "0993330-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmartinez@rm-uc.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "4800 Baseline Rd Ste D106",
"city": "Boulder",
"state": "CO",
"country_code": "US",
"postal_code": "803032643",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CARISSA",
"last_name": "LOPEZ",
"middle_name": "REANNA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 16, 2023; 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.