Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Mary Susan Zickefoose, M.D.

Family Medicine Physician in Canon City, CO · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972647147

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Registry record

Entity type Individual (Type 1)

Name Dr. Mary Susan Zickefoose

Credential M.D.

Sex Female

Practice address Canon City, CO, 81212

Phone (719) 275-6200

Enumeration date Feb 19, 2007

Last updated in NPPES Sep 5, 2013

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 41337 (CO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
97958557	Medicaid	CO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Mary Zickefoose practice?

The practice location on file with NPPES is in Canon City, CO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Mary Zickefoose?

The National Provider Identifier (NPI) for Mary Zickefoose is 1972647147, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-09-05.