Individual provider Active NPI

Tsomorlog Austin, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1184338147
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998362-NP Issued in CO
Practice address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone
(719) 543-8711
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0998362-NP CO
Family Nurse Practitioner 363LF0000X APN.0998362-NP CO Primary

Addresses

Primary practice location

110 E Routt Ave
Pueblo, CO 81004-2117

Mailing address

7758 High Gate Dr
Fountain, CO 80817-4232
Phone (414) 364-4156

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
I20230302000070 CO Practitioner - Nurse Practitioner 5092188607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Associates, PCGroup PAC ID 2466341177, 11 clinicians
Lykos Medical LLCGroup PAC ID 0941558035, 19 clinicians

Practice addresses (Care Compare)

517 Colorado Ave
Pueblo, CO 81004-2075
Phone (719) 564-2503

595 Chapel Hills Dr
Suite 303
Colorado Springs, CO 80920-1057
Phone (719) 434-8810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998362-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Community Health Center Inc CurrentSince Apr 2, 2023 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Apr 2, 2023 Accepting new patients
Asthma & Allergy Associates, PC CurrentSince Jan 1, 2024 Accepting new patients
Asthma & Allergy Associates, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1332 Bauer Ln
Canon City, CO 81212
Phone (719) 275-7485

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

2709 N Tejon St
Colorado Springs, CO 80907
Phone (303) 473-0872

517 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-4016

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

Interoperability endpoints

  • Direct secure messaging: taustin@aaa.ssdirect.aprima.com

Organizations & group practices 5

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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1184338147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7758 HIGH GATE DR",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808174232",
            "telephone_number": "414-364-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E ROUTT AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042117",
            "telephone_number": "719-543-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "TSOMORLOG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0998362-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998362-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.