DR. MARK ANTHONY PRINCE PHD
NPI 1487124517
Psychologist - Clinical in Fort Collins, CO

Active since December 02, 2018PECOS Enrolled
1876 CAMPUS DELIVERY # CLARKC07, FORT COLLINS, CO 80523(619) 994-1518 Get Directions Write a Review

NPPES record last updated: December 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark Anthony Prince Phd NPPES

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

DR. MARK ANTHONY PRINCE PHD (NPI 1487124517) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (PSY.0004925) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487124517
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK ANTHONY PRINCECredential: PHD
Location Address1876 CAMPUS DELIVERY # CLARKC07Fort Collins, CO 80523-1876
Mailing Address3203 Snowbrush PlFort Collins, CO 80521-7549 · (619) 994-1518
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 2, 2018
✔ NPI 1487124517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0004925
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1876 CAMPUS DELIVERY # CLARKC07, Fort Collins, CO 80523

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Anthony Prince Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062902802
PECOS Enrollment IDI20251110000328
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Prince reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80523 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
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 NPPES & CMS

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

What is Mark Prince's NPI number?

The NPI number for Mark Prince is 1487124517. It was assigned to this individual provider in the NPPES registry on December 2, 2018.

Where is Mark Prince located?

Mark Prince practices at 1876 Campus Delivery # Clarkc07, Fort Collins, CO 80523. The listed phone number is (619) 994-1518.

What is Mark Prince's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mark Prince enrolled in Medicare?

Yes. Mark Prince is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Prince's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Prince reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Prince was last updated on December 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.