Individual provider Active NPI

Katelyn Tluczek

  • Certified Registered Nurse Anesthetist
  • Irving, TX
National Provider Identifier
1154794576
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3010023 Issued in KY
Practice address
6225 N State Highway
Ste 200
Irving, TX 75038-2223
Phone
(214) 687-0001
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28224848A IN
Registered Nurse 163W00000X 1123143 KY
Certified Registered Nurse Anesthetist 367500000X APN.0994821-CRNA CO
Certified Registered Nurse Anesthetist 367500000X 108734 IN
Certified Registered Nurse Anesthetist 367500000X 3010023 KY Primary

Addresses

Primary practice location

6225 N State Highway
Ste 200
Irving, TX 75038-2223

Mailing address

2 S Cascade Ave Ste 140
Colorado Springs, CO 80903-1604
Phone (719) 538-2900

Other practice location 1

715 N Weber St Ste 100
Colorado Springs, CO 80903-1092
Phone (719) 473-6155

Other names 1

  • Katelyn Tluczek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002232 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012211477 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

3920 N Union Blvd
Suite 240
Colorado Springs, CO 80907-4920
Phone (719) 227-9711

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

Hospital & facility affiliations

  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1123143KYMDRegistered Nurse
APN.0994821-CRNACOMDCertified Registered Nurse Anesthetist
108734INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 19, 2020 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Dec 7, 2020 Accepting new patients
Anesthesia of the Rocky Mountains, LLC CurrentSince Jul 1, 2021 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2024 Accepting new patients
Peak Gastroenterology Associates CurrentSince Aug 1, 2024 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Apr 12, 2023 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2024 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Apr 12, 2023 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Optumcare Colorado Medical Group, LLC CurrentSince Dec 7, 2020 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1699 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 387-2144

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

13772 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 279-2600

9101 Kimmer Dr
Ste 1000
Lone Tree, CO 80124
Phone (720) 639-8946

1600 N Grand Ave
Ste 150
Pueblo, CO 81003
Phone (719) 595-7680

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1154794576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S CASCADE AVE STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "719-538-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 N STATE HIGHWAY",
            "address_2": "STE 200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382223",
            "telephone_number": "214-687-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 N Weber St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809031092",
            "country_code": "US",
            "telephone_number": "719-473-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TLUCZEK",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28224848A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1123143",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0994821-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "108734",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3010023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "TLUCZEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.