Organization Active NPI

Open Arms Pain Clinic

  • Adult Health Clinical Nurse Specialist
  • Colorado Springs, CO
National Provider Identifier
1154889608
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
Legal business name
OPEN ARMS PAIN CLINIC
Practice address
685 Citadel Dr E Ste 505
Colorado Springs, CO 80909-5372
Phone
(719) 265-4412
Fax
(719) 888-1739
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Miss Victoria Lynn Krohn, NURSE PRACTITIONER
Title
Cmo
Phone
(719) 313-7656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2200X Primary

Addresses

Primary practice location

685 Citadel Dr E Ste 505
Colorado Springs, CO 80909-5372

Mailing address

685 Citadel Dr E Ste 505
Colorado Springs, CO 80909-5372
Phone (719) 265-4412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190501001185 CO Part B Supplier - Clinic/Group Practice 1658613252 Receives reassigned benefits from 4 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

4356 Montebello Dr
Unit 25531
Colorado Springs, CO 80936
Phone (719) 496-9400

3425 Austin Bluffs Pkwy
Ste 101
Colorado Springs, CO 80918
Phone (719) 533-1000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1154889608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 505",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095372",
            "telephone_number": "719-265-4412",
            "fax_number": "719-888-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CITADEL DR E STE 505",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095372",
            "telephone_number": "719-265-4412",
            "fax_number": "719-888-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "719-313-7656",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.