NPIMap

Individual provider Active NPI

Tracey Putz, FNP-BC

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114518693
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020117515 Issued in CO
Practice address
3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053
Phone
(719) 463-7725
Fax
(719) 888-1793
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020117515 CO
Family Medicine Physician 207Q00000X 2020117515 CO
Nurse Practitioner 363L00000X 2020117515 CO Primary

Addresses

Primary practice location

3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053

Mailing address

3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053
Phone (719) 463-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000058 CO Practitioner - Nurse Practitioner 4284946278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3 G Medical Consultants, LLCGroup PAC ID 4880950856, 2 clinicians

Practice addresses (Care Compare)

417 Security Blvd
Colorado Springs, CO 80911-1728
Phone (719) 368-6628

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020117515COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Medicine and Rehabilitation Professional LLC CurrentSince Jul 1, 2024 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC Current Accepting new patients
3 G Medical Consultants, LLC Family Medicine CurrentSince Jun 14, 2025 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC CurrentSince Jul 1, 2024 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC Current Accepting new patients

Locations

1720 Jet Stream Dr
Ste 200
Colorado Springs, CO 80921
Phone (719) 635-3764

1605 N Union Blvd
Colorado Springs, CO 80909
Phone (719) 447-0818

417 Security Blvd
Colorado Springs, CO 80911
Phone (719) 368-6628

685 Citadel Dr E
Ste 505
Colorado Springs, CO 80909
Phone (719) 265-4412

3910 S Carefree Cir
Ste F
Colorado Springs, CO 80917
Phone (719) 463-7725

Interoperability endpoints

  • Direct secure messaging: traceyputz@smcpc.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1114518693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S CAREFREE CIR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-463-7725",
            "fax_number": "719-888-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S CAREFREE CIR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-463-7725",
            "fax_number": "719-888-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZ",
        "first_name": "TRACEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "2020117515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "2020117515",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "2020117515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.