Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Agnes Maytan, MD

Individual provider Family Medicine Physician · NPI 1821026485

Dr. Mary Agnes Maytan, MD is a Family Practice in Colorado Springs, Colorado. Graduated from University of Minnesota Medical School in 1999, 27 years ago. Practices with Colorado Permanente Medical Group PC, a 1,325-clinician group and accepts Medicare assignment. Licensed in Colorado, Louisiana and Minnesota.

Years since qualifying
27
Trained at
University of Minnesota Medical School
Licensed in
CO, LA, MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

215 S Parkside Dr Ste 215
Colorado Springs, CO 80910-3131
Phone: (303) 338-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0064049 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 44037 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200028 (LA)

Record details

NPI number1821026485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Colorado Permanente Medical Group Pc — 1325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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