Simone Patrice Coderellis, P. A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0008220 Issued in CO

Practice address

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223

Phone

(719) 471-2273

Fax

(719) 325-8971

NPI assigned

Jun 11, 2007

Last updated

Dec 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Simone Patrice Muster Other name

Medicare fee-for-service enrollment

Enrolled in GA, 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comfort Care Family Practice, Inc.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1396059184
  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1710168117

  GA

  Medicare reassignment NPD
• St Francis Affiliated Services LLC

  dba St Francis Columbus Clinic

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1912371220

  Physician Assistant

  Medicare reassignment NPD
• Front Range Urgent Care, Inc.

  dba QwikCare MD

  • Urgent Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1457665713
  Medicare reassignment
• Acute Care Emergence

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1225539760
  Medicare reassignment
• Front Range Urgent Care, Inc

  • Durable Medical Equipment & Medical Supplies
  • Pueblo, CO
  • NPI 1518706092
  NPD
• Front Range Urgent Care, Inc.

  dba QwikCare MD

  • Urgent Care Clinic/Center
  • Fountain, CO
  • NPI 1306269261
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Dalton, GA
  • NPI 1750194197
  NPD
• Mac - Macon Road LLC

  • Clinic/Center
  • Columbus, GA
  • NPI 1053599043
  NPD
• Comfort Care Family Practice, Inc.

  • Family Medicine Physician
  • Fountain, CO
  • NPI 1124441084
  NPD (past)
• Comfort Care Family Practice, Inc.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1275911455
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1285837799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 PEARLY HEATH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085640",
            "telephone_number": "404-275-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273",
            "fax_number": "719-325-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 E Woodmen Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208075",
            "country_code": "US",
            "telephone_number": "719-632-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODERELLIS",
        "first_name": "SIMONE",
        "middle_name": "PATRICE",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0008220",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0008220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "MUSTER",
            "middle_name": "PATRICE",
            "credential": "P. A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Breanna Kaitlyn Cochran, RDH
• Jordin Cochran, AGPCNP-C
• Melanie Diane Marquez Cochran, COTA/L
• Jessica Cockshaw, RN
• Rachel Coder
• Steven Paul Coen, PH.D.
• Sydney Joanne Coen, LCSW
• Coeri Dental PLLC
• Ashley Lynn Coffey
• James Coffey

• Medical Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.

Verify at the official NPI Registry.