Individual provider Active NPI

Kathleen Lacy Moehring, APN

  • Women's Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1396089603
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0990486 Issued in CO
Practice address
340 Printers Pkwy
Colorado Springs, CO 80910-3190
Phone
(719) 632-5700
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0990486 CO Primary

Addresses

Primary practice location

340 Printers Pkwy
Colorado Springs, CO 80910-3190

Mailing address

2427 N Corona St
Colorado Springs, CO 80907-7047
Phone (719) 964-0879

Other identifiers 1

IdentifierTypeStateIssuer
0990486OtherCOADVANCED PRACTICE REGISTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in 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

Enrollment IDStateProvider typePAC IDDetails
I20130426000108 CO Practitioner - Nurse Practitioner 1759527385 Reassigns benefits to 2 organizations
I20140603000279 CO Practitioner - Certified Nurse Midwife (CNM) 1759527385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

255 S Union Blvd
Union Family Health
Colorado Springs, CO 80910-3124
Phone (719) 630-6440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0990486COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Colorado, P.C. CurrentSince Jun 10, 2019 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 16, 2013 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 16, 2013 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

Interoperability endpoints

  • Direct secure messaging: kathleen.moehring.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1396089603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 N CORONA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077047",
            "telephone_number": "719-964-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHRING",
        "first_name": "KATHLEEN",
        "middle_name": "LACY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0990486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTRY",
            "identifier": "0990486",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.