Active NPI
Graceful Care Primary Services LLC
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1043103260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Lewis, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.