Individual provider Active NPI

Alyssa J McClurg, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1639316003
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
991898 Issued in CO
Practice address
4863 N Nevada Ave
Colorado Springs, CO 80918-3951
Phone
(719) 632-5700
Fax
(719) 260-1821
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 991898 CO Primary
Registered Nurse 163W00000X 179969 CO

Addresses

Primary practice location

4863 N Nevada Ave
Colorado Springs, CO 80918-3951

Mailing address

4863 N Nevada Ave
Colorado Springs, CO 80918-3951
Phone (719) 632-5700

Other practice location 1

7435 Sisters Grv Ste 400
Colorado Springs, CO 80923-2631
Phone (719) 571-8030

Other names 1

  • Alyssa June Boswell Former name

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
I20150911000026 CO Practitioner - Nurse Practitioner 5496062218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

7435 Sisters GRV
Suite 400
Colorado Springs, CO 80923-2631
Phone (719) 571-8030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179969COMDRegistered Nurse
991898COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Feb 6, 2017 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 1, 2025 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Aug 17, 2015 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Aug 17, 2015 Accepting new patients
Peak Vista Community Health Centers CurrentSince Feb 6, 2017 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

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

4863 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 255-8001

722 S Wahsatch Ave
Colorado Springs, CO 80903
Phone (719) 344-6935

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

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1639316003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951",
            "telephone_number": "719-632-5700",
            "fax_number": "719-260-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951",
            "telephone_number": "719-632-5700",
            "fax_number": "719-260-1821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 Sisters Grv Ste 400",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232631",
            "country_code": "US",
            "telephone_number": "719-571-8030",
            "fax_number": "719-571-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURG",
        "first_name": "ALYSSA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "991898",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "179969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BOSWELL",
            "middle_name": "JUNE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.