Lisa M Corley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0009459 Issued in CO

Practice address

700 W US Highway 24
Woodland Park, CO 80863-8975

Phone

(719) 522-1133

Fax

(719) 687-8919

NPI assigned

Feb 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, CO2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Optumcare Colorado Medical Group LLC

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828

  CO

  Medicare reassignment Care Compare group NPD (past)
• Mobile MD PA

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1306933718

  TX

  Medicare reassignment
• Wilson Creek Internal Medicine Group

  • Specialist
  • McKinney, TX
  • NPI 1376993337

  TX

  Medicare reassignment
• Optumcare Colorado Medical Group, LLC

  • Clinical Medical Laboratory
  • Colorado Springs, CO
  • NPI 1619009388
  Care Compare group
• Optumcare Colorado Medical Group LLC

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD
• Bir JV LLP

  • Rehabilitation Hospital
  • Dallas, TX
  • NPI 1538465901
  NPD (past)
• Domicilliary Service LLC

  • Legal Medicine
  • Dallas, TX
  • NPI 1710172093
  NPD (past)

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

• Uchealth Pikes Peak Regional Hospital

  • Critical Access Hospital
  • Woodland Park, CO
  • NPI 1275703910

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1194965384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W US HIGHWAY 24",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638975",
            "telephone_number": "719-522-1133",
            "fax_number": "719-687-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000254828",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colorado Dental Specialist Practice, LLC
• Colorado Functional Medicine
• David Thomas Conlin, DPT
• Shauna Connors
• Julie A Conyers, MD
• Kandi Coyle
• Crystal Creek Counseling
• Crystal Creek Counseling , PC Inc.
• CS Colorado Clinics LLC
• Cummings Vision Care PC

• All providers in Woodland Park, CO
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.
• 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.