Individual provider Active NPI

Julie Ashcraft, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1366045650
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0996137-NP Issued in CO
Practice address
2993 Broadmoor Valley Rd Ste 103
Colorado Springs, CO 80906-4471
Phone
(719) 301-7731
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APN.0996137-NP CO Primary

Addresses

Primary practice location

2993 Broadmoor Valley Rd Ste 103
Colorado Springs, CO 80906-4471

Mailing address

2993 Broadmoor Valley Rd Ste 103
Colorado Springs, CO 80906-4471
Phone (719) 301-7731

Other names 1

  • Julie Cruz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20210316001736 CO Practitioner - Nurse Practitioner 0648686741 Reassigns benefits to 1 organization
I20260319002085 FL Practitioner - Nurse Practitioner 0648686741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Psychiatric Care LLC 8 clinicians

Practice addresses (Care Compare)

Homosassa, FL 34446
Phone (719) 301-7731

2993 Broadmoor Valley Rd
Suite 103
Colorado Springs, CO 80906-4471
Phone (719) 301-7731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Psychiatric Care, LLC Single Specialty CurrentSince Dec 8, 2022 Accepting new patients

Locations

2993 Broadmoor Valley Rd
Ste 105A
Colorado Springs, CO 80906
Phone (719) 301-7731

2993 Broadmoor Valley Rd
Ste 103
Colorado Springs, CO 80906
Phone (719) 301-7731

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1366045650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2993 BROADMOOR VALLEY RD STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064471",
            "telephone_number": "719-301-7731",
            "fax_number": "719-434-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 BROADMOOR VALLEY RD STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064471",
            "telephone_number": "719-301-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHCRAFT",
        "first_name": "JULIE",
        "credential": "PHMNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0996137-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.