| Pikes Peak Hospice And Palliative Care Inc | |
|
2550 Tenderfoot Hill St Colorado Springs CO 80906-3998 | |
| (719) 633-3400 | |
| (719) 633-3800 |
| Full Name | Pikes Peak Hospice And Palliative Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2550 Tenderfoot Hill St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Dawn Darvalics (PRESIDENT) |
| Authorized Official Contact | 7196333400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikes Peak Hospice And Palliative Care Inc 2550 Tenderfoot Hill St Colorado Springs CO 80906-3998 Ph: (719) 633-3400 | Pikes Peak Hospice And Palliative Care Inc 2550 Tenderfoot Hill St Colorado Springs CO 80906-3998 Ph: (719) 633-3400 |
| NPI Number | 1245362169 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 7618866138 |
|---|---|
| Medicare Enrollment ID | O20040312000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245362169 | NPI | - | NPPES |
| 66132045 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Colorado) | Primary |
| Provider Name | Arlyn J Labair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265402275 PECOS PAC ID: 7012903172 Enrollment ID: I20040423001302 |
| Provider Name | Robert Howe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699751891 PECOS PAC ID: 9234268517 Enrollment ID: I20100525000535 |
| Provider Name | Mason S Shamis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003075151 PECOS PAC ID: 3375714660 Enrollment ID: I20110916000306 |
| Provider Name | Charlotte D Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073801924 PECOS PAC ID: 1850514662 Enrollment ID: I20140523001609 |
| Provider Name | Tracy L Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578971313 PECOS PAC ID: 7113149360 Enrollment ID: I20141104001019 |
| Provider Name | Kimberly Statler Bennett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710066287 PECOS PAC ID: 8123061520 Enrollment ID: I20150126001786 |
| Provider Name | Pradeep R Rai |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184863631 PECOS PAC ID: 1850510124 Enrollment ID: I20150504000473 |
| Provider Name | Molly F Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245621481 PECOS PAC ID: 2062731185 Enrollment ID: I20150512000384 |
| Provider Name | Nathaniel John Miller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154571867 PECOS PAC ID: 9436327962 Enrollment ID: I20151201000946 |
| Provider Name | Rebekah Diann Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982061024 PECOS PAC ID: 6507163169 Enrollment ID: I20180201000693 |
| Provider Name | Nathaniel Silas Chappelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194160077 PECOS PAC ID: 6507160322 Enrollment ID: I20180403002766 |
| Provider Name | Sheri Anne Knepel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992751077 PECOS PAC ID: 9032153101 Enrollment ID: I20180809000507 |
| Provider Name | Lisa Lynn Schlitzkus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053503599 PECOS PAC ID: 4082845805 Enrollment ID: I20191002001915 |
| Provider Name | Ann Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063871614 PECOS PAC ID: 9436453289 Enrollment ID: I20191216000327 |
| Provider Name | Anne Marie Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385157 PECOS PAC ID: 9537580386 Enrollment ID: I20200602002506 |
| Provider Name | Dawn Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046387 PECOS PAC ID: 4385078542 Enrollment ID: I20210317000094 |
| Provider Name | Misty Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851992176 PECOS PAC ID: 7911314299 Enrollment ID: I20210405000019 |
| Provider Name | Benjamin Milgrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962763938 PECOS PAC ID: 5395062426 Enrollment ID: I20220228000550 |
| Provider Name | Eleonora Delia Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215522396 PECOS PAC ID: 6305231663 Enrollment ID: I20220323001676 |
| Provider Name | Samantha Ann Gehrels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871265306 PECOS PAC ID: 1153708649 Enrollment ID: I20220523002207 |
| Provider Name | Cristina L Standridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275194748 PECOS PAC ID: 1052732088 Enrollment ID: I20220701000490 |
| Provider Name | Shawnna Durand Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639790587 PECOS PAC ID: 7911376249 Enrollment ID: I20221208002303 |
| Provider Name | Claire Karsting-pomerantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235845264 PECOS PAC ID: 6103280821 Enrollment ID: I20230914000794 |
| Provider Name | Kathryn G Kolonic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598909558 PECOS PAC ID: 2860645538 Enrollment ID: I20230925001036 |
| Provider Name | Claire Schend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447597075 PECOS PAC ID: 2961857198 Enrollment ID: I20231009001703 |
| Provider Name | Abigail Leigh Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831969377 PECOS PAC ID: 8123467115 Enrollment ID: I20240424000822 |
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