Individual provider Active NPI

Larencia A Lucas Caine, AGNP-C

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1124753066
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0997784-NP Issued in CO
Practice address
8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519
Phone
(719) 358-8270
Fax
(719) 358-8299
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0997784-NP CO Primary

Addresses

Primary practice location

8540 Scarborough Dr Ste 370
Colorado Springs, CO 80920-7519

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
I20220916000221 CO Practitioner - Nurse Practitioner 0547645244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Pain Consultants LLCGroup PAC ID 0648569806, 4 clinicians

Practice addresses (Care Compare)

3920 N Union Blvd
Suite 220
Colorado Springs, CO 80907-4920
Phone (719) 375-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0997784-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Pain Consultants LLC CurrentSince Nov 8, 2023 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

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1124753066",
    "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": "809207519",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS CAINE",
        "first_name": "LARENCIA",
        "middle_name": "A",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0997784-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.