Christopher Coram, NURSE PRACTITIONER

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

115 E Riverwalk Unit 200
Pueblo, CO 81003-3320

Phone

(195) 438-3467

Fax

(719) 545-1829

NPI assigned

Oct 1, 2020

Last updated

Dec 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, HI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians

Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Renue U Medspa PCGroup PAC ID 2769878313, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Renue U Medspa PC

  dba Advanced Restore Health

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1811658289
  Medicare reassignment Care Compare group NPD
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1962584060
  Medicare reassignment Care Compare group NPD
• Kau Hospital

  • Rural Health Clinic/Center
  • Pahala, HI
  • NPI 1144304338
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Vein Institute Professional LLC

  dba American Vein & Vascular

  • Vascular & Interventional Radiology Physician
  • Pueblo, CO
  • NPI 1457685398
  Medicare reassignment NPD
• Renue U Medspa PC

  dba Advanced Restore Health

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1174336127
  NPD
• Rocky Mountain Vein Institute PLLC

  dba American Vein & Vascular

  • Vascular & Interventional Radiology Physician
  • Parker, CO
  • NPI 1831799550
  NPD
• Hilo Benioff Medical Center

  • Anesthesiology Physician
  • Hilo, HI
  • NPI 1235981614
  NPD
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  NPD
• Kau Hospital

  dba East Hawaii Health Clinic at Puna Kai

  • Rural Health Clinic/Center
  • Pahoa, HI
  • NPI 1285450163
  NPD
• Kau Hospital

  • Critical Access Hospital
  • Pahala, HI
  • NPI 1982276127
  NPD
• Front Range Wound Care PC

  • Allergy & Immunology Physician
  • Centennial, CO
  • NPI 1881341816
  NPD (past)
• Summit Primary Care

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1356962849
  NPD (past)

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

• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  Care Compare affiliation

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1134726391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7702",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370702",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E RIVERWALK UNIT 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033320",
            "telephone_number": "195-438-3467",
            "fax_number": "719-545-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAM",
        "first_name": "CHRISTOPHER",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "T-APN.0000022",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN-5407",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996057-NP",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Marie Cook
• Danielle Ericka Cook
• Grace Cook, DO
• Grant Cooper
• Morgan Cooper, CCC-SLP
• Alexis Cordova
• Antonio Cordova, PHARMD
• Carolyn Mary Cordova, RD,MPH,CDE
• Cheri Cordova
• Christa Cordova

• Physician Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.