Individual provider Active NPI

Annie Yoo, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1083436075
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000252-NP Issued in CO
Practice address
1605 N Union Blvd
Colorado Springs, CO 80909-2828
Phone
(719) 635-3764
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1000252-NP CO Primary

Addresses

Primary practice location

1605 N Union Blvd
Colorado Springs, CO 80909-2828

Mailing address

1012 Zodiac Dr
Colorado Springs, CO 80905-7662
Phone (917) 932-7317

Other names 1

  • Annabelle Yoo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429003811 CO Practitioner - Nurse Practitioner 1850817149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906-4405
Phone (719) 355-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Jun 2, 2025 Accepting new patients
Colorado Springs Pain Consultants LLC CurrentSince Feb 27, 2025 Accepting new patients
Mednow Clinics, Inc Past Accepting new patients

Locations

3920 N Union Blvd
Ste 220
Colorado Springs, CO 80907
Phone (719) 375-5400

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

2955 Professional Pl
Ste 100
Colorado Springs, CO 80904
Phone (719) 375-5400

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909
Phone (719) 387-7900

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906
Phone (719) 203-4723

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

Interoperability endpoints

  • Direct secure messaging: annie.yoo.1@14209.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1083436075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 ZODIAC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057662",
            "telephone_number": "917-932-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092828",
            "telephone_number": "719-635-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "ANNIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000252-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNABELLE",
            "last_name": "YOO",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.