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JOSE G. MANTILLA-ACEVEDO NP
NPI 1720394612
Nurse Practitioner - Family in Colorado Springs, CO

Active since August 30, 2010PECOS EnrolledAccepts Medicare Assignment
1035 GARDEN OF THE GODS RD, SUITE 120, COLORADO SPRINGS, CO 80907(719) 329-1000(719) 598-0807 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose G. Mantilla-acevedo Np NPPES

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

JOSE G. MANTILLA-ACEVEDO NP (NPI 1720394612) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0991852-NP) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720394612
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSE G. MANTILLA-ACEVEDOCredential: NP
Location Address1035 GARDEN OF THE GODS RD, SUITE 120Colorado Springs, CO 80907-9427
Mailing Address1035 Garden Of The Gods Rd, Suite 120Colorado Springs, CO 80907-9427 · (719) 329-1000 · Fax (719) 598-0807
Phone(719) 329-1000
Fax(719) 598-0807
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 30, 2010
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1720394612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CO · APN.0991852-NP✔ Licensed in IL · 209008328
Also ListedRegistered NurseTaxonomy 163W00000X · License 041363059 (IL)
1035 GARDEN OF THE GODS RD, Colorado Springs, CO 80907
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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

Jose G. Mantilla-acevedo 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 ID3577752013
PECOS Enrollment IDI20161020000128
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 80907 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$15.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers37 claims37 services$73.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$29.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jose Mantilla-acevedo's NPI number?

The NPI number for Jose Mantilla-acevedo is 1720394612. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is Jose Mantilla-acevedo located?

Jose Mantilla-acevedo practices at 1035 Garden Of The Gods Rd Suite 120, Colorado Springs, CO 80907. The listed phone number is (719) 329-1000.

What is Jose Mantilla-acevedo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jose Mantilla-acevedo enrolled in Medicare?

Yes. Jose Mantilla-acevedo 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 Jose Mantilla-acevedo was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.