Active NPI
Elyze C Wermel, APRN, FNP-C
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0995625-NP
- Practice address
- 340 Printers Pkwy
Colorado Springs, CO 80910-3190 - Phone
- (719) 344-6294
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0995625-NP | CO | Primary |
Addresses
Primary practice location
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Mailing address
3225 Commodore Dr
Colorado Springs, CO 80920-4455
Phone (719) 640-1280
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa.loof@peakvista.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
Interoperability endpoints
- lisa.loof@peakvista.org
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
dba Behavioral Health at Inside Out Youth Services
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1194334698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 COMMODORE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809204455",
"telephone_number": "719-640-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 PRINTERS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103190",
"telephone_number": "719-344-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERMEL",
"first_name": "ELYZE",
"middle_name": "C",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0995625-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lisa.loof@peakvista.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "340 Printers Pkwy",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809103190",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.