NPIMap

Individual provider Active NPI

Lisa Demers Foster, NP

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1780780098
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
100760 Issued in CO
Practice address
2350 International Cir
Colorado Springs, CO 80910-3139
Phone
(719) 475-5065
Fax
(719) 475-5797
NPI assigned
Sep 15, 2006
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 100760 CO Primary

Addresses

Primary practice location

2350 International Cir
Colorado Springs, CO 80910-3139

Mailing address

2350 International Cir
Colorado Springs, CO 80910-3139
Phone (719) 475-5065

Other practice location 1

3810 Topsail Dr
Colorado Springs, CO 80918-5602
Phone (719) 641-8607

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
I20071030000318 CO Practitioner - Nurse Practitioner 8123115763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agewell Medical Associates PCGroup PAC ID 8527164466, 6 clinicians

Practice addresses (Care Compare)

2350 International Cir
Colorado Springs, CO 80910-3139
Phone (719) 475-5065

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2942COMDChiropractor
100760COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agewell Medical Associates, PC CurrentSince Jan 1, 2007 Accepting new patients
Scot F. Sickbert, M.D., LLC Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

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

2350 International Cir
Colorado Springs, CO 80910
Phone (719) 475-5065

2400 E Cache La Poudre St
Colorado Springs, CO 80909
Phone (719) 471-8700

2400 E Cache La Poudre St
#C
Colorado Springs, CO 80909
Phone (719) 471-8700

3225 International Cir
Ste 102
Colorado Springs, CO 80910
Phone (719) 425-5065

325 S Parkside Dr
Colorado Springs, CO 80910
Phone (719) 471-6512

Interoperability endpoints

  • Direct secure messaging: lisa.foster.1@17846.direct.athenahealth.com

Organizations & group practices 3

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1780780098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103139",
            "telephone_number": "719-475-5065",
            "fax_number": "719-475-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 INTERNATIONAL CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103139",
            "telephone_number": "719-475-5065",
            "fax_number": "719-475-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Topsail Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809185602",
            "country_code": "US",
            "telephone_number": "719-641-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "LISA",
        "middle_name": "DEMERS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "100760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.