Active NPI
Stephanie Lyn Guerrero, FNP-BC
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0997909-NP
- Practice address
- 410 Gold Pass HTS
Colorado Springs, CO 80906-3882 - Phone
- (719) 632-5700
- NPI assigned
- Aug 29, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041356405 | IL | |
| Registered Nurse | 163W00000X | 041.356405 | IL | |
| Family Nurse Practitioner | 363LF0000X | APN.0997909-NP | CO | Primary |
Addresses
Primary practice location
410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Mailing address
410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Phone (719) 632-5700
Other practice location 1
2111 Champa St
Denver, CO 80205-2529
Phone (303) 312-9909
Other practice location 2
2130 Stout St
Denver, CO 80205-2827
Phone (303) 312-9978
Other names 1
- Stephanie Lyn Riley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Colorado Coalition for the Homeless
Practice addresses (Care Compare)
2130 Stout St
Denver, CO 80205-2827
Phone (303) 293-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.356405 | IL | MD | Registered Nurse |
| 041356405 | IL | MD | Registered Nurse |
| APN.0997909-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Vista Community Health Centers | Current | Accepting new patients | |
| Peak Vista Community Health Centers | Current | Accepting new patients |
Locations
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
410 Gold Pass Hts
Colorado Springs, CO 80906
Phone (719) 576-3326
3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873
Interoperability endpoints
- sriley70356@uihealth.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1730166034
-
- Federally Qualified Health Center (FQHC)
- Colorado Springs, CO
- NPI 1871347443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1881361624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 GOLD PASS HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063882",
"telephone_number": "719-632-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 GOLD PASS HTS",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063882",
"telephone_number": "719-632-5700"
}
],
"practiceLocations": [
{
"address_1": "2111 Champa St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052529",
"country_code": "US",
"telephone_number": "303-312-9909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2130 Stout St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802052827",
"country_code": "US",
"telephone_number": "303-312-9978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUERRERO",
"first_name": "STEPHANIE",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-29",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041356405",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.356405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0997909-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "RILEY",
"middle_name": "LYN",
"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 Jan 24, 2025; 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.