NPIMap

Individual provider Active NPI

Kelsey Renee Ewing, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1407404783
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007270 Issued in CO
Practice address
1625 Medical Center PT Ste 220
Colorado Springs, CO 80907-5798
Phone
(719) 364-5080
Fax
(719) 364-5081
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007270 CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 220
Colorado Springs, CO 80907-5798

Mailing address

1625 Medical Center PT Ste 220
Colorado Springs, CO 80907-5798
Phone (719) 364-5080

Other practice location 1

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5221

Other identifiers 1

IdentifierTypeStateIssuer
9000204031MedicaidCO

Other names 1

  • Kelsey Renee Wilkens Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504000308 CO Practitioner - Physician Assistant 0749677110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Medical Care PLLCGroup PAC ID 5395096952, 11 clinicians
Emergency Medical Specialists, P.C.Group PAC ID 2860489242, 78 clinicians
MWS Wound Solutions LLCGroup PAC ID 2567801541, 5 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-6820

595 Chapel Hills Dr
Suite 303B
Colorado Springs, CO 80920-1022
Phone (719) 922-1002

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 12, 2022 Accepting new patients
Peak Medical Care, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Feb 8, 2024 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Feb 8, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2770 N Powers Blvd
Colorado Springs, CO 80922
Phone (719) 638-3000

1625 Medical Center Pt
Ste 220
Colorado Springs, CO 80907
Phone (719) 364-5080

5623 Pulpit Peak Vw
Colorado Springs, CO 80918
Phone (719) 272-3600

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

525 Bob Peters Grv
Ste 302
Colorado Springs, CO 80909
Phone (719) 365-5445

3790 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 264-5080

13510 Meadowgrass Dr
Colorado Springs, CO 80921
Phone (719) 364-7010

3843 Rio Vista Dr
Ste 2700
Colorado Springs, CO 80917
Phone (719) 364-5080

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

7890 Fountain Mesa Rd
Fountain, CO 80817
Phone (719) 390-2680

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

16420 W US Highway 24
Woodland Park, CO 80863
Phone (719) 632-5020

Organizations & group practices 7

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1407404783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-364-5080",
            "fax_number": "719-364-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-364-5080",
            "fax_number": "719-364-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "KELSEY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000204031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WILKENS",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.