Individual provider Active NPI

Leslie Semeraro

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1568095974
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006960 Issued in CO
Practice address
2222 N Nevada Ave Ste 5010
Colorado Springs, CO 80907-6865
Phone
(719) 776-6700
Fax
(719) 776-6780
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA.0006960 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 5010
Colorado Springs, CO 80907-6865

Mailing address

2222 N Nevada Ave Ste 5010
Colorado Springs, CO 80907-6865
Phone (719) 776-6700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211103001959 CO Practitioner - Physician Assistant 9234527649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Urological Associates LLCGroup PAC ID 6709155393, 20 clinicians

Practice addresses (Care Compare)

1644 Medical Ctr PT
Suite 200
Colorado Springs, CO 80907-5765
Phone (719) 634-1994

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006960COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Urological Associates LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

2222 N Nevada Ave
Ste 5010
Colorado Springs, CO 80907
Phone (719) 776-3580

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1568095974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5010",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-6700",
            "fax_number": "719-776-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5010",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-6700",
            "fax_number": "719-776-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMERARO",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.