Individual provider Active NPI

Erica Jeanette Fedewa, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1851939755
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN-0994629-NP Issued in CO
Practice address
3604 Galley Rd
Colorado Springs, CO 80909-4302
Phone
(719) 602-3394
Fax
(719) 602-3397
NPI assigned
Dec 11, 2019
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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-0994629-NP CO Primary

Addresses

Primary practice location

3604 Galley Rd
Colorado Springs, CO 80909-4302

Mailing address

3604 Galley Rd
Colorado Springs, CO 80909-4302
Phone (719) 602-3394

Other practice location 1

5134 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8699
Phone (719) 598-5698

Other practice location 2

1021 Matlock Rd
Mansfield, TX 76063-3443
Phone (817) 225-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN-0994629-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aleracare of Colorado, LLC CurrentSince Nov 27, 2023 Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients
Aleracare of Colorado, LLC Past Accepting new patients

Locations

4045 E Bell Rd
Ste 157
Phoenix, AZ 85032
Phone (602) 404-0015

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

1550 S Potomac St
Ste 145
Aurora, CO 80012
Phone (480) 716-5820

2910 Beacon St
Ste 200
Colorado Springs, CO 80907
Phone (888) 238-9523

750 W Hampden Ave
Ste 285
Englewood, CO 80110
Phone (888) 238-9523

1303 Fortino Blvd
Ste C
Pueblo, CO 81008
Phone (719) 582-1010

Organizations & group practices 4

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1851939755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094302",
            "telephone_number": "719-602-3394",
            "fax_number": "719-602-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 GALLEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094302",
            "telephone_number": "719-602-3394",
            "fax_number": "719-602-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5134 N Nevada Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809188699",
            "country_code": "US",
            "telephone_number": "719-598-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633443",
            "country_code": "US",
            "telephone_number": "817-225-4591",
            "fax_number": "817-225-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDEWA",
        "first_name": "ERICA",
        "middle_name": "JEANETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN-0994629-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.