NPIMap

Individual provider Active NPI

Sydney Rose Corl, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1255986733
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-0009697 Issued in CO
Practice address
3843 Rio Vista Dr Ste 1200
Colorado Springs, CO 80917-3378
Phone
(719) 365-1950
Fax
(719) 364-4931
NPI assigned
Aug 1, 2019
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-0009697 CO Primary

Addresses

Primary practice location

3843 Rio Vista Dr Ste 1200
Colorado Springs, CO 80917-3378

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (719) 365-1950

Other practice location 1

1370 Interquest Pkwy Ste 100
Colorado Springs, CO 80921-4338
Phone (719) 365-1950

Other practice location 2

5818 N Nevada Ave Ste 110
Colorado Springs, CO 80918-3505
Phone (719) 365-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304000772 CO Practitioner - Physician Assistant 9830671387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

3843 Rio Vista Dr
Colorado Springs, CO 80917-3335
Phone (719) 365-1950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-0009697COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Apr 1, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

175 S Union Blvd
Ste 125
Colorado Springs, CO 80910

1370 Interquest Pkwy
Ste 100
Colorado Springs, CO 80921

3843 Rio Vista Dr
Ste 1200
Colorado Springs, CO 80917

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1255986733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 RIO VISTA DR STE 1200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173378",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Interquest Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809214338",
            "country_code": "US",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-5639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5818 N Nevada Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809183505",
            "country_code": "US",
            "telephone_number": "719-365-1950",
            "fax_number": "719-364-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORL",
        "first_name": "SYDNEY",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-0009697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.