Colorado Clinic - Medicare Primary Care in Pueblo, CO

Colorado Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pueblo, Colorado. The current practice location for Colorado Clinic is 300 Colorado Ave, Pueblo, Colorado. For appointments, you can reach them via phone at (719) 543-8711. The mailing address for Colorado Clinic is 110 E Routt Ave, Pueblo, Colorado and phone number is (719) 543-8718.

Colorado Clinic is licensed to practice in Colorado (license number 0849). The clinic also participates in the medicare program and its NPI number is 1770529950. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 543-8711.

Contact Information

Colorado Clinic
300 Colorado Ave
Pueblo
CO 81004-2006
(719) 543-8711
(719) 543-5340

Map and Direction


Primary Care Clinic Profile

Full NameColorado Clinic
SpecialityClinic/Center
Location300 Colorado Ave, Pueblo, Colorado
Authorized Official Name and PositionDonald E Moore (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact7195438718
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colorado Clinic
110 E Routt Ave
Pueblo
CO 81004-2117

Ph: (719) 543-8718
Colorado Clinic
300 Colorado Ave
Pueblo
CO 81004-2006

Ph: (719) 543-8711

NPI Details:

NPI Number1770529950
Provider Enumeration Date06/22/2006
Last Update Date08/28/2013

Medicare PECOS Information:

Medicare PECOS PAC ID4284543802
Medicare Enrollment IDO20031104000171

Medical Identifiers

Medical identifiers for Colorado Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770529950NPI-NPPES
05638275MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 0849 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Colorado Clinic acts as a billing entity for following providers:
Provider NameJoy J Furman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184650525
PECOS PAC ID: 1254235575
Enrollment ID: I20031119000931
Provider NameRichard N King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679500599
PECOS PAC ID: 2769461664
Enrollment ID: I20040715000149
Provider NameJames E Roukema
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891714713
PECOS PAC ID: 6406827609
Enrollment ID: I20040802001654
Provider NameCynthia C Jimenez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902920564
PECOS PAC ID: 0042259624
Enrollment ID: I20050503000632
Provider NameAlfredo Vargas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396753521
PECOS PAC ID: 2668404450
Enrollment ID: I20050831000925
Provider NamePatricia Susana Sabatini
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730142613
PECOS PAC ID: 5092749572
Enrollment ID: I20051020000738
Provider NameSteven D Nafziger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043442791
PECOS PAC ID: 8527088541
Enrollment ID: I20051205000745
Provider NameLucinda Diane Stegman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265403901
PECOS PAC ID: 4981619970
Enrollment ID: I20060213000357
Provider NameThomas B Clemens
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427085323
PECOS PAC ID: 7012924301
Enrollment ID: I20060310000467
Provider NameCheryl L Wegelin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124150883
PECOS PAC ID: 2163431909
Enrollment ID: I20060406000292
Provider NameMichele Z Pennington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275624850
PECOS PAC ID: 8325045941
Enrollment ID: I20061024000529
Provider NameLynne M Evetts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023054541
PECOS PAC ID: 6305942780
Enrollment ID: I20070501000428
Provider NameMichael Barris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386671204
PECOS PAC ID: 9032203559
Enrollment ID: I20070914000332
Provider NameJill Pollock
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376614784
PECOS PAC ID: 0042394728
Enrollment ID: I20080220000396
Provider NameBrian A Bentz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487851010
PECOS PAC ID: 8224107982
Enrollment ID: I20080521000123
Provider NameMegan M Lenhart
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1386781656
PECOS PAC ID: 4183783467
Enrollment ID: I20081030000826
Provider NameSergio Alberto Murillo Herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598923757
PECOS PAC ID: 3870653348
Enrollment ID: I20081114000371
Provider NameMichael O Growney
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851437636
PECOS PAC ID: 2860453321
Enrollment ID: I20090127000452
Provider NameRona K Knudsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740216878
PECOS PAC ID: 9830255090
Enrollment ID: I20090313000105
Provider NameBrett L Hulet
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447245139
PECOS PAC ID: 2163519885
Enrollment ID: I20090316000468
Provider NameJoseph W Castelli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1689646812
PECOS PAC ID: 1355422916
Enrollment ID: I20090915000514
Provider NameDana G Riley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073540910
PECOS PAC ID: 8224178983
Enrollment ID: I20091210000750
Provider NameDavid Krause
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659308575
PECOS PAC ID: 9133200652
Enrollment ID: I20091210000760
Provider NameMark D Schwartz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881622629
PECOS PAC ID: 2961542543
Enrollment ID: I20091211000274
Provider NameDonna R Lagrotteria
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508894346
PECOS PAC ID: 3476693441
Enrollment ID: I20091223000140
Provider NameSara Tonsing
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598750291
PECOS PAC ID: 5395874606
Enrollment ID: I20100525000822
Provider NameFernando Ariel Mahmoud
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245542471
PECOS PAC ID: 7719176841
Enrollment ID: I20110105000736
Provider NameRobert N Alsever
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1780667972
PECOS PAC ID: 0143408245
Enrollment ID: I20110620000357
Provider NameRegina J Griego
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710274394
PECOS PAC ID: 0446422166
Enrollment ID: I20110930000298
Provider NameMary Hund-snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376538082
PECOS PAC ID: 2062670128
Enrollment ID: I20120221000039
Provider NameDonald J Higdon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154482610
PECOS PAC ID: 4880853308
Enrollment ID: I20120301000870
Provider NamePrudencio A Cosyleon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083775498
PECOS PAC ID: 2961661038
Enrollment ID: I20120312000323
Provider NameMichael A Ramos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699743724
PECOS PAC ID: 2062673197
Enrollment ID: I20120416000814
Provider NameJeanette Janine Grant
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356610901
PECOS PAC ID: 3072777861
Enrollment ID: I20120606000676
Provider NameStephanie Parker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538135561
PECOS PAC ID: 4082664149
Enrollment ID: I20120709000225
Provider NameMaria Cramer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902916794
PECOS PAC ID: 5597760363
Enrollment ID: I20120716000439
Provider NameSudheshna Ropp
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1689683054
PECOS PAC ID: 7517113087
Enrollment ID: I20120816000298
Provider NameEmillia Cristina Ortiz Lloyd
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578630885
PECOS PAC ID: 4183778228
Enrollment ID: I20130816000476
Provider NameLeslie Dabovich Dempsey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225349202
PECOS PAC ID: 2466696554
Enrollment ID: I20130911000171
Provider NamePatricia D Quillen
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1134256787
PECOS PAC ID: 5799929584
Enrollment ID: I20130917000733
Provider NameLynn Leyba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891721437
PECOS PAC ID: 4981838133
Enrollment ID: I20131002000213
Provider NameMaria L Duran-shy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275833667
PECOS PAC ID: 0345475372
Enrollment ID: I20131030000036
Provider NameWendy Raso
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1700821469
PECOS PAC ID: 5597990481
Enrollment ID: I20131031000458
Provider NamePaulina Adjei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427482884
PECOS PAC ID: 9032345921
Enrollment ID: I20131125000594
Provider NameVirginia C Gillispie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730216771
PECOS PAC ID: 3971720392
Enrollment ID: I20140808000721
Provider NameRachel C Niemet
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326366105
PECOS PAC ID: 4587803325
Enrollment ID: I20140912001102
Provider NameKristine Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598927931
PECOS PAC ID: 1557535952
Enrollment ID: I20141021000319
Provider NameKristi Lynn Meyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275718215
PECOS PAC ID: 8527249390
Enrollment ID: I20141231000513
Provider NameRegan A Young
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871918037
PECOS PAC ID: 8123345394
Enrollment ID: I20150327000362
Provider NameSvetlana Naymark
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1427346139
PECOS PAC ID: 7416268917
Enrollment ID: I20150625000369
Provider NameCharmayne Noel Sandoval
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215221320
PECOS PAC ID: 8527373760
Enrollment ID: I20150817001419
Provider NameAlyssa June Mcclurg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639316003
PECOS PAC ID: 5496062218
Enrollment ID: I20150911000026
Provider NameAileen Nunag Carlos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033591714
PECOS PAC ID: 8123338670
Enrollment ID: I20151112001726
Provider NameShelby Lindsay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548671613
PECOS PAC ID: 4183928641
Enrollment ID: I20160204000666
Provider NameJustin V Diegel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497193718
PECOS PAC ID: 0143524009
Enrollment ID: I20160212001875
Provider NameJennifer Gallegos
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1457716755
PECOS PAC ID: 7214232255
Enrollment ID: I20160229002031
Provider NameBrian R Juan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669887360
PECOS PAC ID: 9739484635
Enrollment ID: I20160301001100
Provider NameAmy R Ochle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164888400
PECOS PAC ID: 6800195389
Enrollment ID: I20160504002746
Provider NameShaundra M Lujan
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1518323955
PECOS PAC ID: 8123319688
Enrollment ID: I20160614001519
Provider NameTimothy Papsidero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770920969
PECOS PAC ID: 0244520096
Enrollment ID: I20160728001791
Provider NameKelsey L Markenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275085086
PECOS PAC ID: 8426338443
Enrollment ID: I20161209000362
Provider NameAlethea Hoewisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043754880
PECOS PAC ID: 7618244054
Enrollment ID: I20170606001946
Provider NameCourtney M Fugate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962782037
PECOS PAC ID: 4587834338
Enrollment ID: I20170626000384
Provider NameAdam Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639626997
PECOS PAC ID: 0244506988
Enrollment ID: I20171109003068
Provider NameNicole Bower
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205230778
PECOS PAC ID: 8123384740
Enrollment ID: I20171114001917
Provider NameRobert L Johnson
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1366410425
PECOS PAC ID: 1557304359
Enrollment ID: I20171114002739
Provider NameMaria Lengele
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1982146221
PECOS PAC ID: 9931465507
Enrollment ID: I20171115000045
Provider NameElizabeth Louise Stuyt
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1619905049
PECOS PAC ID: 2567728165
Enrollment ID: I20171115001590
Provider NameDana Alice Zuidema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649797804
PECOS PAC ID: 9234496654
Enrollment ID: I20171120001931
Provider NameMaranda D Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841745601
PECOS PAC ID: 5890083232
Enrollment ID: I20171201000967
Provider NameAshlie Davenport
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679083695
PECOS PAC ID: 1052679776
Enrollment ID: I20171228002779
Provider NameCarly A Lacroix
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1316328560
PECOS PAC ID: 4688981319
Enrollment ID: I20180207000891
Provider NameMatthew T Mejia
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1851507321
PECOS PAC ID: 2668727389
Enrollment ID: I20180621001198
Provider NameBreanna Rene Berry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457615189
PECOS PAC ID: 4284876491
Enrollment ID: I20180625002178
Provider NameSamuel George Longfellow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851771943
PECOS PAC ID: 9830445196
Enrollment ID: I20180629000647
Provider NameSusanna Maria Jacobs
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750792313
PECOS PAC ID: 9638425200
Enrollment ID: I20180712000653
Provider NameJill Hollar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093173833
PECOS PAC ID: 9335497049
Enrollment ID: I20180810002745
Provider NameClaire H Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366474850
PECOS PAC ID: 6608882642
Enrollment ID: I20180925001895
Provider NameLisa M Rich
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1164906194
PECOS PAC ID: 2365795424
Enrollment ID: I20181019001605
Provider NameHarmeet Singh Dhaliwal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831572106
PECOS PAC ID: 1355695313
Enrollment ID: I20181112001226
Provider NameStephanie Nicole Payne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518318039
PECOS PAC ID: 4486991718
Enrollment ID: I20190124002674
Provider NameJesusita Elvira Tafoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225543945
PECOS PAC ID: 6204173354
Enrollment ID: I20190128001099
Provider NameKendra Fejedelem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053889014
PECOS PAC ID: 4385977503
Enrollment ID: I20190603002377
Provider NameAkoua Attiogbe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346768868
PECOS PAC ID: 3173857513
Enrollment ID: I20190619000604
Provider NameChristina M Wooters-eck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659935401
PECOS PAC ID: 3375877582
Enrollment ID: I20190621001468
Provider NameNathan James Culberson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1598150963
PECOS PAC ID: 0042592271
Enrollment ID: I20190819003435
Provider NameCynthia Renee Fallhowe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730365495
PECOS PAC ID: 9335497247
Enrollment ID: I20190920001693
Provider NameLiberty Angel Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700445467
PECOS PAC ID: 5597097329
Enrollment ID: I20191029001260
Provider NameTodd Odegaard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427584531
PECOS PAC ID: 4183993983
Enrollment ID: I20191121000413
Provider NameKelsey Bohr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851946818
PECOS PAC ID: 6800229576
Enrollment ID: I20191211000350
Provider NameJennifer D Vail
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1225678261
PECOS PAC ID: 2961838289
Enrollment ID: I20200205001597
Provider NameMartin W Chrisman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497391643
PECOS PAC ID: 3870921422
Enrollment ID: I20200316000221
Provider NameBonnie J Henderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841454352
PECOS PAC ID: 6709189244
Enrollment ID: I20200317002186
Provider NameBrandi L Trujillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902435506
PECOS PAC ID: 1951732569
Enrollment ID: I20200515000421
Provider NameCassandra Jean Balon
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548624992
PECOS PAC ID: 8123396306
Enrollment ID: I20200903001077
Provider NameMelissa M Lesavoy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750775102
PECOS PAC ID: 8123446432
Enrollment ID: I20200918001425
Provider NameChristi Lyn Bader
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487279659
PECOS PAC ID: 1759700388
Enrollment ID: I20201001001437
Provider NameJulie Tenbrook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164417606
PECOS PAC ID: 6709876279
Enrollment ID: I20201104002895
Provider NameMeghan Stich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669828141
PECOS PAC ID: 2365794971
Enrollment ID: I20201202000591
Provider NameKimberly A Mahoney
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235456393
PECOS PAC ID: 7113330630
Enrollment ID: I20201230000773
Provider NameMarcella Antoinette Masterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811591852
PECOS PAC ID: 9032528922
Enrollment ID: I20210505001598
Provider NameErika L Willetts
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1235507310
PECOS PAC ID: 8224346457
Enrollment ID: I20210616000357
Provider NameMayline Michelle Nambela-barlow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245734136
PECOS PAC ID: 3173921830
Enrollment ID: I20211011000514
Provider NameClare Arth
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518984475
PECOS PAC ID: 5092785519
Enrollment ID: I20211104000251
Provider NameKimberly A Pallazola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164180667
PECOS PAC ID: 0941691786
Enrollment ID: I20220105000816
Provider NameDiana S Pacheco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316695059
PECOS PAC ID: 7618362849
Enrollment ID: I20220324001583
Provider NameNicole M Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972247138
PECOS PAC ID: 7719364603
Enrollment ID: I20220516000277
Provider NameDeborah Ruth Shaffer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1326647959
PECOS PAC ID: 7517370190
Enrollment ID: I20220726001990
Provider NameAudra Anne Hazel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336886324
PECOS PAC ID: 5799167425
Enrollment ID: I20220727004348
Provider NameLaura Michelle Grunewald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144956251
PECOS PAC ID: 3476937350
Enrollment ID: I20220825003243
Provider NameAlvin Si-long Tang
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1487318721
PECOS PAC ID: 9032595103
Enrollment ID: I20220928000542
Provider NameDarcy Victoria- Faye Heim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649934894
PECOS PAC ID: 4385020049
Enrollment ID: I20221004000011
Provider NameMelissa A Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073145181
PECOS PAC ID: 0749656072
Enrollment ID: I20221012000008
Provider NameKelly Celeste Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154956530
PECOS PAC ID: 8527434877
Enrollment ID: I20221012001172
Provider NameCasey Anna Fuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568997757
PECOS PAC ID: 5799107926
Enrollment ID: I20221123000869
Provider NameWilliam Edward Mead
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154734424
PECOS PAC ID: 3577933654
Enrollment ID: I20230105003107
Provider NameJulie Ann Anderson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679709000
PECOS PAC ID: 0042681876
Enrollment ID: I20230113001690
Provider NameTsomorlog Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184338147
PECOS PAC ID: 5092188607
Enrollment ID: I20230302000070
Provider NameSamantha Jo Frankmore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851099360
PECOS PAC ID: 3274908264
Enrollment ID: I20230404002745
Provider NameAnna Fernandez
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1386878007
PECOS PAC ID: 8921464371
Enrollment ID: I20230510001077
Provider NameDanyel R Baker
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588222020
PECOS PAC ID: 4981930310
Enrollment ID: I20230705001462
Provider NameChristopher S Rothschild
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174200745
PECOS PAC ID: 4981067048
Enrollment ID: I20230823001541
Provider NameCarrie Neumann
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124249586
PECOS PAC ID: 3173972601
Enrollment ID: I20231209000760
Provider NameTracey Lynn Clark
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215479415
PECOS PAC ID: 5193174571
Enrollment ID: I20231211001558
Provider NameJill Finegold
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548426299
PECOS PAC ID: 4486003696
Enrollment ID: I20231213003234
Provider NameMindy Jean Armijo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356507107
PECOS PAC ID: 1456700673
Enrollment ID: I20231213003823
Provider NameJeanne Lee Walsh
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801331517
PECOS PAC ID: 3375992365
Enrollment ID: I20231215003022
Provider NameDenise L Kidd
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174852750
PECOS PAC ID: 3678923497
Enrollment ID: I20231220001013
Provider NameKaren Ann Faulk
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1437492204
PECOS PAC ID: 7315397544
Enrollment ID: I20231229000869
Provider NameNora Patricia Elizalde
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1366851313
PECOS PAC ID: 7315246055
Enrollment ID: I20231229001246
Provider NameEva Nunez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1588988802
PECOS PAC ID: 1052761061
Enrollment ID: I20240103000133
Provider NameGloriean Ortiz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1902290927
PECOS PAC ID: 7517318991
Enrollment ID: I20240110002160
Provider NameJodi Ann Kurz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356123442
PECOS PAC ID: 8325490410
Enrollment ID: I20240112004047
Provider NameNorma J Nehren
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063408359
PECOS PAC ID: 5092706713
Enrollment ID: I20240119002583
Provider NameCassandra Holly Furlong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700657418
PECOS PAC ID: 6507203080
Enrollment ID: I20240319003936
Provider NameSherry Allison Hunter
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1497273767
PECOS PAC ID: 2062775778
Enrollment ID: I20240405001521

Reviews and Comments


Clinic/Center in Pueblo, CO

Lake Medical Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2001 Lake Ave, Pueblo, CO 81004
Phone: 719-564-0300    Fax: 719-564-0303
Risley School Based Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 625 N Monument Ave, Pueblo, CO 81001
Phone: 719-543-8711    Fax: 719-543-5340
Digestive Diseases Specialists Of Colorado,llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003
Phone: 719-543-3500    Fax: 719-543-3504
Aleracare Of Colorado, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1303 Fortino Blvd, Pueblo, CO 81008
Phone: 888-209-8874    
Parkview Ancillary Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 525 West 15th Street, Ste. 300, Pueblo, CO 81003
Phone: 719-542-1696    Fax: 719-542-1698
Concentra Urgent Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008
Phone: 719-545-0788    
Front Range Clinic Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1249 E Routt Ave, Pueblo, CO 81004
Phone: 720-808-0051    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.