Active NPI
Summit Primary Care
- Family Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUMMIT PRIMARY CARE
- Practice address
- 75 Printers Pkwy
Colorado Springs, CO 80910-3151 - Phone
- (304) 860-2012
- NPI assigned
- May 18, 2020
- Last updated
- Jul 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Oneill
- Title
- Office Manager
- Phone
- (719) 300-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
75 Printers Pkwy
Colorado Springs, CO 80910-3151
Mailing address
75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (719) 300-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000186685 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200804000433 | CO | Part B Supplier - Clinic/Group Practice | 3577988864 |
Receives reassigned benefits from 12 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colorado Springs, CO; Englewood, CO; La Junta, CO; Pueblo, CO |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Colorado Springs, CO
- NPI 1720861230
O20200804000433
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2265087 | Summit Primary Care - Colorado Springs | Certificate of waiver | Jul 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
155 Printers Pkwy
Ste 260
Colorado Springs, CO 80910
75 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 227-8874
1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Pueblo, CO
- NPI 1982289625
-
- Family Medicine Physician
- Pueblo, CO
- NPI 1558326264
-
- Primary Care Nurse Practitioner
- Pueblo, CO
- NPI 1679336259
-
- Family Nurse Practitioner
- Morehead City, NC
- NPI 1114497807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1285256818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PRINTERS PKWY STE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103142",
"telephone_number": "719-300-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINTERS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103151",
"telephone_number": "304-860-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-18",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "ONEILL",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "719-300-1122"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000186685",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Summit Integrated Health PLLC
- Summit Medical Clinic, PC
- Summit Nephrology PLLC
- Summit Performance Nutrition LLC
- Summit Physio & Performance, LLC
- Summit Primary Care
- Summit Primary Care
- Summit Psychiatry, LLC
- Summit Psychological Assessment & Consultation
- Summit Rheumatology and Arthritis -Colorado PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.