Cecilio Cardenas Ponce, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP124870 Issued in TX

Practice address

1880 Office Club PT Ste 235
Colorado Springs, CO 80920-5017

Phone

(719) 200-2243

Fax

(833) 216-0396

NPI assigned

Jan 9, 2014

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Nurse Practitioner

Education

Texas Tech University Health Science Center School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cecilio.cardenas.1@28844.direct.athenahealth.com

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.

• La Clinica del Sol PLLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1316638273
  Medicare reassignment NPD
• Veteran Assessment Agency

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1790507093
  NPD (past) Authorized official

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386066462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 235",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205017",
            "telephone_number": "719-200-2243",
            "fax_number": "833-216-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OFFICE CLUB PT STE 235",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205017",
            "telephone_number": "719-200-2243",
            "fax_number": "833-216-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS PONCE",
        "first_name": "CECILIO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunday Lee Carayo
• Dream Carbajal
• Ricardo Carballo
• Carc Enterprises Incorporated (Value Care Health Clinic)
• Juliana Cardarelli
• Catherine Cardenas
• Monica Renae Cardenas, OT
• Tyler Cardenas
• Mary P Cardiel, RN
• James B Cardinal

• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.

Verify at the official NPI Registry.