Organization Active NPI

Beacon Wound Care PLLC

Doing business as Beacon Primary Care

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1174436240
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BEACON WOUND CARE PLLC
Doing business as
Beacon Primary Care
Practice address
864 N 19TH St
Colorado Springs, CO 80904-3086
Phone
(719) 325-5187
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Jennifer Leigh Graff, AGPCNP-BC
Title
Ceo
Phone
(303) 351-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

864 N 19TH St
Colorado Springs, CO 80904-3086

Mailing address

9980 Silver Maple Rd
Highlands Ranch, CO 80129-5469
Phone (303) 351-1410

Other names 1

  • Beacon Primary Care Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1174436240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 SILVER MAPLE RD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295469",
            "telephone_number": "303-351-1410",
            "fax_number": "303-590-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 N 19TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043086",
            "telephone_number": "719-325-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-351-1410",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.