| Comfort Care Family Practice, Inc. | |
|
5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 | |
| (719) 471-2273 | |
| (719) 380-0228 |
| Full Name | Comfort Care Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5799 Stetson Hills Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anita Wiescamp (OWNER) |
| Authorized Official Contact | 7195100957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Care Family Practice, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 Ph: (719) 471-2273 | Comfort Care Family Practice, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 Ph: (719) 471-2273 |
| NPI Number | 1396059184 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 1153593645 |
|---|---|
| Medicare Enrollment ID | O20111005000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396059184 | NPI | - | NPPES |
| 46324275 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49109 (Colorado) | Primary |
| Provider Name | Susan Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295012433 PECOS PAC ID: 8820375082 Enrollment ID: I20170426001448 |
| Provider Name | Jessi Lynn Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013421890 PECOS PAC ID: 5092074278 Enrollment ID: I20180116000575 |
| Provider Name | Genevieve Giammo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730646423 PECOS PAC ID: 2769724194 Enrollment ID: I20190503001158 |
| Provider Name | Nicholas Franklin Brookins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215283098 PECOS PAC ID: 2769715598 Enrollment ID: I20190611002128 |
| Provider Name | Deanna L Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659938017 PECOS PAC ID: 6204853401 Enrollment ID: I20190919003236 |
| Provider Name | Mary Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104078955 PECOS PAC ID: 9335202704 Enrollment ID: I20200130002514 |
| Provider Name | Hannah Labove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477087146 PECOS PAC ID: 3274944343 Enrollment ID: I20201120000444 |
| Provider Name | Agnes Mauryn Jepkogei Kiptum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893797 PECOS PAC ID: 4587073895 Enrollment ID: I20210517001151 |
| Provider Name | Wendy M Stakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407458011 PECOS PAC ID: 4587057682 Enrollment ID: I20220214001921 |
| Provider Name | Jonathan Richard Meacham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760153779 PECOS PAC ID: 4587057575 Enrollment ID: I20220216000623 |
| Provider Name | Tammy Michelle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487270807 PECOS PAC ID: 2961896006 Enrollment ID: I20220307000438 |
| Provider Name | Anna M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306592811 PECOS PAC ID: 4981099967 Enrollment ID: I20220310001202 |
| Provider Name | Megan T Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427334069 PECOS PAC ID: 7113312968 Enrollment ID: I20220315001214 |
| Provider Name | Nicole Lynn Simental |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912650987 PECOS PAC ID: 7618362369 Enrollment ID: I20220316003221 |
| Provider Name | Micole Andreia Lafforgue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861953275 PECOS PAC ID: 0143644336 Enrollment ID: I20220330002737 |
| Provider Name | Stephanie Ferron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134701261 PECOS PAC ID: 6800282112 Enrollment ID: I20220412003014 |
| Provider Name | Lyric Nichol Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740905694 PECOS PAC ID: 8022488220 Enrollment ID: I20230104002484 |
| Provider Name | Rebyl James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841842812 PECOS PAC ID: 2466823125 Enrollment ID: I20230118000099 |
| Provider Name | Melanie Lynn Markadakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841906476 PECOS PAC ID: 9537533823 Enrollment ID: I20230329000258 |
| Provider Name | Christina Renee Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982170585 PECOS PAC ID: 5991170375 Enrollment ID: I20230418000268 |
| Provider Name | Scott Douglas Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053981647 PECOS PAC ID: 6406254952 Enrollment ID: I20230428001326 |
| Provider Name | Kristen Selke Lariviere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750001624 PECOS PAC ID: 0345606869 Enrollment ID: I20230525000503 |
| Provider Name | Raegan Brooke Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619662582 PECOS PAC ID: 4789041070 Enrollment ID: I20230531003505 |
| Provider Name | Gerardo Neri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686234 PECOS PAC ID: 6709021629 Enrollment ID: I20231011004056 |
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