Individual provider Active NPI

Elise L Musolf, MSN-FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114978632
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994727-NP Issued in CO
Practice address
8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920
Phone
(719) 471-2225
Fax
(719) 358-8299
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4246 CO
Family Nurse Practitioner 363LF0000X APN.0994727-NP CO Primary

Addresses

Primary practice location

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920

Mailing address

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519
Phone (719) 358-8270

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
I20190727000189 CO Practitioner - Nurse Practitioner 2961437942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gorman Medical LLCGroup PAC ID 1557583135, 10 clinicians

Practice addresses (Care Compare)

8540 Scarborough Dr
Suite 370
Colorado Springs, CO 80920-7519
Phone (719) 358-8270

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4246COMDMental Health Counselor
APN.0994727-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman Medical LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

8540 Scarborough Dr
Ste 370
Colorado Springs, CO 80920
Phone (719) 358-8270

8540 Scarborough Dr
Ste 270
Colorado Springs, CO 80920

Organizations & group practices 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1114978632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207519",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-471-2225",
            "fax_number": "719-358-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOLF",
        "first_name": "ELISE",
        "middle_name": "L",
        "credential": "MSN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4246",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994727-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.