Active NPI
Nancy Prantl, FNP-BC
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0991893-NP
- Practice address
- 410 Gold Pass HTS
Colorado Springs, CO 80906-3882 - Phone
- (719) 632-5700
- Fax
- (719) 344-7817
- NPI assigned
- Aug 27, 2015
- 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 | 0991893-NP | CO | Primary |
Addresses
Primary practice location
410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Mailing address
3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917-5152
Phone (719) 344-7158
Other practice location 1
100 Grove St Ste 115
Worcester, MA 01605-2630
Phone (833) 904-2273
Other practice location 2
15416 N Florida Ave Ste 203
Tampa, FL 33613-1239
Phone (833) 904-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15770052 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NC, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
495 Flatbush Ave
Brooklyn, NY 11225-3706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0991893-NP | CO | MD | Family 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 | |
| Cityblock Medical Practice, P.a. | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
410 Gold Pass Hts
Colorado Springs, CO 80906
Phone (719) 576-3326
16115 La Salle St
South Holland, IL 60473
Phone (347) 463-5529
4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407
1738 Owen Dr
#110111
Fayetteville, NC 28304
1840 Owen Dr
Ste 105
Fayetteville, NC 28304
Phone (630) 957-8536
1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104
624 Quaker Ln
Ste C200
High Point, NC 27262
Phone (336) 887-3164
3214 Charles B Root Wynd
Ste 203
Raleigh, NC 27612
Phone (919) 877-6800
3333 Brookview Hills Blvd
Ste 102
Winston Salem, NC 27103
Phone (336) 760-1448
55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063
Interoperability endpoints
- nancy.prantl.1@27775.direct.athenahealth.com
Organizations & group practices 3
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": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1205203098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 130",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175152",
"telephone_number": "719-344-7158",
"fax_number": "719-344-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GOLD PASS HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063882",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7817"
}
],
"practiceLocations": [
{
"address_1": "100 Grove St Ste 115",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052630",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15416 N Florida Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336131239",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRANTL",
"first_name": "NANCY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0991893-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15770052",
"state": "CO"
}
],
"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 Sep 15, 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.