Active NPI
Kyla Elaine Moore, APRN
- Gerontology Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN.0996891-NP
- Practice address
- 1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533 - Phone
- (719) 364-6487
- Fax
- (719) 364-6488
- NPI assigned
- Oct 5, 2018
- Last updated
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 116172 | OK | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.0996891-NP | CO | Primary |
Addresses
Primary practice location
1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (719) 364-6487
Other practice location 1
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3011
Other names 1
- Kyla Elaine Blouin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161
2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333
3300 NW
3444 Main Hospital
Oklahoma City, OK 73112-4418
Phone (405) 947-5557
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996891-NP | CO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Colorado, Inc. | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Colorado Springs Pulmonary Consultants PC | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
1400 E Boulder St
Ste 500
Colorado Springs, CO 80909
Phone (719) 364-6487
1400 E Boulder St
Ste 500EAR
Colorado Springs, CO 80909
Phone (719) 364-4120
2222 N Nevada Ave
Ste 4004
Colorado Springs, CO 80907
Phone (719) 471-7064
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
15 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 798-1309
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403
Interoperability endpoints
- kblouin17399@direct.integrisok.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lakewood, CO
- NPI 1518491232
-
- Medical Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1942242623
-
- Pulmonary Disease Physician
- Colorado Springs, CO
- NPI 1528269099
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Critical Care Medicine (Internal Medicine) Physician
- Durango, CO
- NPI 1659220663
-
- Emergency Medicine Physician
- Colorado Springs, CO
- NPI 1013557362
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
dba INTEGRIS Decisions Mental Health and Addiction Recovery Programs
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
dba Integris Mental Health Center
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
dba Integris Health Baptist Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
dba Integris Mental Health Center Acute
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1649745654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389071",
"telephone_number": "719-364-6487",
"fax_number": "719-364-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST STE 500",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533",
"telephone_number": "719-364-6487",
"fax_number": "719-364-6488"
}
],
"practiceLocations": [
{
"address_1": "3300 NW Expressway",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124418",
"country_code": "US",
"telephone_number": "405-949-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "KYLA",
"middle_name": "ELAINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "116172",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0996891-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLA",
"last_name": "BLOUIN",
"middle_name": "ELAINE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.