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MARY ANGELA BRUGGEMAN FNP-C
NPI 1104392323
Nurse Practitioner - Family in Golden, CO

Active since October 15, 2018PECOS Enrolled
12905 W. 40TH AVE SUITE 105, GOLDEN, CO 80401(720) 262-5787(720) 414-1981 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2023, Aug 8, 2022, Jul 2, 2019 and 2 more (5 updates tracked since 2018).

About Mary Angela Bruggeman Fnp-c NPPES

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

MARY ANGELA BRUGGEMAN FNP-C (NPI 1104392323) is an individual family provider in Golden, Colorado, licensed in Colorado (APN.0994162-NP) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1104392323
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY ANGELA BRUGGEMANCredential: FNP-C
Location Address12905 W. 40TH AVE SUITE 105Golden, CO 80401
Mailing Address12905 W. 40th Ave Suite 105Golden, CO 80401 · (720) 262-5787 · Fax (720) 414-1981
Phone(720) 262-5787
Fax(720) 414-1981
Sole ProprietorNo
Enumeration DateOctober 15, 2018
Last NPPES UpdateSeptember 29, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1104392323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0994162-NP
12905 W. 40TH AVE SUITE 105, Golden, CO 80401
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Other Names 1

Former Name (1)Mary Angela Cuartas

Secondary Practice Location 1

Location 110350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Angela Bruggeman Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80401 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.

Frequently Asked Questions

What is Mary Bruggeman's NPI number?

The NPI number assigned to this healthcare provider is 1104392323, enumerated as an "individual" on October 15, 2018.

Where is the provider located?

The provider is located at 12905 W. 40TH AVE SUITE 105 GOLDEN, CO 80401 and the phone number is (720) 262-5787.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.