MARY AVILA (NP) – Family Nurse Practitioner, NPI 1013720853

MARY AVILA (NP) is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. APN.1000488-NP (CO). The NPI Number for MARY AVILA (NP) is 1013720853

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MARY AVILA (NP)
NPI
1013720853
Phone
(719) 413-9275
Address
2610 GRAND VISTA CIR APT 111
Enumeration Date
27 January 2025
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196324455
Graduation Year
2024 (2 years ago)
PAC ID
1456871441
Group Practice PAC ID
3072790864
Professional Enrollment ID
I20250220002299
Address ID
CO809208075CO4190XRDXX400
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for MARY AVILA (NP)

  • 2610 GRAND VISTA CIR APT 111

    COLORADO SPRINGS, CO 809045247

    Phone: (719) 413-9275

    Type: Mailing

  • 4150 E WOODMEN RD STE 100

    COLORADO SPRINGS, CO 809208042

    Phone: (719) 632-4455

    Type: Location

  • 3920 N UNION BLVD STE 150

    COLORADO SPRINGS, CO 809071907

    Phone: (719) 694-3595

    Fax: (719) 493-9936

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250220002299INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072790864View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
-CO
Internal MedicineCO
-CO
Nurse PractitionerCO
Internal Medicine, Pediatric MedicineCO
Family PracticeTX

Reviews

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Frequently asked questions

What is the standard ID for MARY AVILA (NP) in the U.S.?
In the U.S., MARY AVILA (NP) is identified by NPI 1013720853.
Does the public listing show MARY AVILA (NP) as active?
MARY AVILA (NP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MARY AVILA (NP)?
NPPES ties MARY AVILA (NP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARY AVILA (NP)?
The directory associates MARY AVILA (NP) with Colorado Springs, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains MARY AVILA (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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