Active NPI
Katherine Anne Alexander, PA-C
- Physician Assistant
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0008585
- Practice address
- 1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533 - Phone
- (719) 364-4120
- Fax
- (719) 364-4121
- NPI assigned
- Aug 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112346 | FL | |
| Physician Assistant | 363A00000X | PA.0008585 | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4123
Other practice location 1
1901 Floyd St
Sarasota, FL 34239-2932
Phone (941) 366-9222
Other practice location 2
200 SW 62nd Blvd Ste C
Gainesville, FL 32607-2067
Phone (352) 265-0920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104039900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016002950 | FL | Practitioner - Physician Assistant | 3072844471 | Reassigns benefits to 2 organizations |
| I20240723001570 | CO | Practitioner - Physician Assistant | 3072844471 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525
1400 E Boulder St
Colorado Springs, CO 80909-5533
4050 Briargate Pkwy
Colorado Springs, CO 80920-7815
4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800
4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260
Hospital & facility affiliations
- Uch-Memorial Health System
- Uchealth Grandview Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| SMH Physician Services Inc | Physician Assistant | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120
3843 Rio Vista Dr
Ste 2200
Colorado Springs, CO 80917
Phone (719) 364-4120
1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487
595 Chapel Hills Dr
Ste 325
Colorado Springs, CO 80920
Phone (719) 364-4120
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
200 SW 62nd Blvd
Ste C
Gainesville, FL 32607
Phone (352) 265-0920
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1901 Floyd St
Sarasota, FL 34239
Phone (941) 366-9222
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
FL, Physician Assistant
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1336796804",
"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": "970-624-4123",
"fax_number": "970-490-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 500",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-364-4120",
"fax_number": "719-364-4121"
}
],
"practiceLocations": [
{
"address_1": "1901 Floyd St",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342392932",
"country_code": "US",
"telephone_number": "941-366-9222",
"fax_number": "941-365-2269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 SW 62nd Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326072067",
"country_code": "US",
"telephone_number": "352-265-0920",
"fax_number": "352-265-9466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112346",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0008585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104039900",
"state": "FL"
}
],
"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 Jun 26, 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.
- 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.