Individual provider Active NPI

Patrice Dorismond Kiesling, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1790158723
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992068-NP Issued in CO
Practice address
6140 Tutt Blvd Ste 120
Colorado Springs, CO 80923-3574
Phone
(719) 888-5181
Fax
(719) 601-8859
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 APN.0992068-NP CO Primary

Addresses

Primary practice location

6140 Tutt Blvd Ste 120
Colorado Springs, CO 80923-3574

Mailing address

6140 Tutt Blvd Ste 120
Colorado Springs, CO 80923-3574
Phone (719) 888-5181

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
I20160123000093 CO Practitioner - Nurse Practitioner 3375846462 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

Practice addresses (Care Compare)

6140 Tutt Blvd
Suite 120
Colorado Springs, CO 80923-3574
Phone (719) 888-5181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992068-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flywell Health, LLC Family Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 10, 2018 Accepting new patients
Peak Vista Community Health Centers CurrentSince Aug 10, 2018 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 11, 2021 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 11, 2021 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Revia Health and Wellness, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

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

155 Printers Pkwy
Ste 230
Colorado Springs, CO 80910
Phone (719) 635-5657

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 364-8950

340 Printers Pkwy
Colorado Springs, CO 80910
Phone (719) 228-6635

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 328-7971

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

7641 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 582-5500

6140 Tutt Blvd
Ste 120
Colorado Springs, CO 80923
Phone (719) 266-0438

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1790158723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233574",
            "telephone_number": "719-888-5181",
            "fax_number": "719-601-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 TUTT BLVD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233574",
            "telephone_number": "719-888-5181",
            "fax_number": "719-601-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESLING",
        "first_name": "PATRICE",
        "middle_name": "DORISMOND",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992068-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.