NPIMap

Organization Active NPI

Elevate Mental Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1073482071
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELEVATE MENTAL WELLNESS, LLC
Practice address
1305 Fortino Blvd
Pueblo, CO 81008-2032
Phone
(303) 600-8563
Fax
(877) 805-7372
NPI assigned
Oct 30, 2025
Organization subpart
Yes
Parent organization
ELEVATE MENTAL WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Dr. Patricia Maria Cupit, DBA
Title
Coo
Phone
(970) 786-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1305 Fortino Blvd
Pueblo, CO 81008-2032

Mailing address

450 W Jefferson Ave
Englewood, CO 80110-3536
Phone (970) 786-0074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260108004394 CO Part B Supplier - Clinic/Group Practice 5193201184 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Pueblo, CO; Englewood, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Elevate Mental Wellness LLC3 organizations share this tax ID, including this one
Part of
Elevate Mental Wellness LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 Fortino Blvd
Pueblo, CO 81008
Phone (303) 600-8563

1401 N Elizabeth St
Ste B
Pueblo, CO 81003
Phone (303) 600-8563

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1073482071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W JEFFERSON AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103536",
            "telephone_number": "970-786-0074",
            "fax_number": "877-807-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "303-600-8563",
            "fax_number": "877-805-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MENTAL WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELEVATE MENTAL WELLNESS, LLC",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "CUPIT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "970-786-0074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.