Individual provider Active NPI

Tracy Richardson

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1568913697
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0992700 Issued in CO
Practice address
4130 N Freeway Rd
Pueblo, CO 81008-2064
Phone
(719) 695-2273
Fax
(719) 380-0228
NPI assigned
Oct 24, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0992700 CO Primary

Addresses

Primary practice location

4130 N Freeway Rd
Pueblo, CO 81008-2064

Mailing address

5799 Stetson Hills Blvd
Suite 100
Colorado Springs, CO 80917-4223
Phone (719) 471-2273

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
I20170316002631 CO Practitioner - Nurse Practitioner 4789969569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0992700COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado Inc CurrentSince Jun 6, 2018 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Oct 1, 2020 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Oct 1, 2020 Accepting new patients
Usacs of Colorado Inc CurrentSince Jun 6, 2018 Accepting new patients
Usacs of Colorado, Inc Current Accepting new patients

Locations

10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

Organizations & group practices 6

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1568913697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273",
            "fax_number": "719-380-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 N FREEWAY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082064",
            "telephone_number": "719-695-2273",
            "fax_number": "719-380-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0992700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.