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SUMY ANTHONY CERTIFIED NP
NPI 1003240862
Nurse Practitioner in Aurora, CO

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment
54.17/100
CMS Quality Rating
1700 S POTOMAC ST, AURORA, CO 80012(303) 418-7600(303) 750-3137 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2020, Jul 31, 2019 (2 updates tracked since 2019).

About Sumy Anthony Certified Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMY ANTHONY CERTIFIED NP (NPI 1003240862) is an individual nurse practitioner in Aurora, Colorado, licensed in Colorado (APN.0994384-NP) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003240862
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSUMY ANTHONYCredential: CERTIFIED NP
Location Address1700 S POTOMAC STAurora, CO 80012-5405
Mailing Address7951 E Maplewood Ave Ste 350Greenwood Village, CO 80111-4758 · (303) 930-7895 · Fax (832) 601-6018
Phone(303) 418-7600
Fax(303) 750-3137
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 29, 2013
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1003240862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CO · APN.0994384-NP✔ Licensed in OH · 15054
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1700 S POTOMAC ST, Aurora, CO 80012
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumy Anthony Certified Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890920649
PECOS Enrollment IDI20190228000247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.89
Promoting Interoperability0
Improvement Activities40
Cost68.7

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN CANCER CENTERS, LLP
Radiology (Radiation Oncology)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
JODE MONIQUE VALLEJOS PA-C
Physician Assistant
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
AMY C. SIDORSKI N.P.
Nurse Practitioner
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
DOUGLAS M REZNICK MD
Internal Medicine (Hematology & Oncology)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
LESLIE KANTOR LCSW
Social Worker (Clinical)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7683
DR. SUJATHA NALLAPAREDDY MD
Internal Medicine (Hematology & Oncology)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
ANH LAI-O'CONNELL LCSW
Social Worker (Clinical)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600
ROCKY MOUNTAIN CANCER CENTERS, LLP
Internal Medicine (Hematology & Oncology)
1700 S POTOMAC ST
AURORA, CO 80012
Arapahoe County (303) 418-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sumy Anthony's NPI number?

The NPI number for Sumy Anthony is 1003240862. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Sumy Anthony located?

Sumy Anthony practices at 1700 S Potomac St, Aurora, CO 80012. The listed phone number is (303) 418-7600.

What is Sumy Anthony's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sumy Anthony enrolled in Medicare?

Yes. Sumy Anthony is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sumy Anthony was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.