Organization Active NPI

Graceful Care Primary Services LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1043103260
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRACEFUL CARE PRIMARY SERVICES LLC
Practice address
7222 Commerce Center Dr Ste 220
Colorado Springs, CO 80919-2631
Phone
(719) 233-0383
Fax
(719) 890-7317
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alicia Lewis, FNPNPI 1538965785
Title
Owner
Phone
(719) 233-0383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7222 Commerce Center Dr Ste 220
Colorado Springs, CO 80919-2631

Mailing address

8767 Royal Melbourne Cir
Peyton, CO 80831-4103
Phone (719) 233-0383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918002714 CO Part B Supplier - Clinic/Group Practice 8123522521 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1043103260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 ROYAL MELBOURNE CIR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314103",
            "telephone_number": "719-233-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192631",
            "telephone_number": "719-233-0383",
            "fax_number": "719-890-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL CARE PRIMARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-233-0383",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.