Individual provider Active NPI

Quimberly Thomas, NP-C

  • Primary Care Nurse Practitioner
  • Fort Carson, CO
National Provider Identifier
1891335113
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APN.0995283-NP Issued in CO
Practice address
1650 Cochrane Cir BLDG 7503
Fort Carson, CO 80913-4613
Phone
(719) 634-8891
Fax
(719) 634-1897
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.0995283-NP CO Primary

Addresses

Primary practice location

1650 Cochrane Cir BLDG 7503
Fort Carson, CO 80913-4613

Mailing address

1650 Cochrane Cir BLDG 7503
Fort Carson, CO 80913-4613
Phone (719) 526-2273

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
I20201214001586 CO Practitioner - Nurse Practitioner 3173935236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vista Community Health CentersGroup PAC ID 4688583974, 126 clinicians
Maher Rehab Solutions LLCGroup PAC ID 2567875545, 3 clinicians

Practice addresses (Care Compare)

1815 Jet Wing Dr
Colorado Springs, CO 80916-2300
Phone (719) 632-5700

1880 Office Club PT
Suite 100
Colorado Springs, CO 80920-5012
Phone (719) 471-0727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995283-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maher Pain & Medical Rehabilitation Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Dec 1, 2025 Accepting new patients
Maher Rehab Solutions LLC CurrentSince Apr 1, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Dec 1, 2025 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

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

1815 Jet Wing Dr
Colorado Springs, CO 80916
Phone (719) 344-6331

1880 Office Club Pt
Ste 100
Colorado Springs, CO 80920
Phone (719) 471-0722

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

Interoperability endpoints

  • Direct secure messaging: quimberly.thomas.1@14940.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1891335113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR BLDG 7503",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR BLDG 7503",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-634-8891",
            "fax_number": "719-634-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "QUIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.0995283-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.