NPIMap

Individual provider Active NPI

Michele Lynn Coleman, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1962473157
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48751 Issued in CO
Practice address
5818 N Nevada Ave Ste 200
Colorado Springs, CO 80918-3505
Phone
(719) 599-0444
Fax
(719) 365-7150
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48751 CO Primary
Family Medicine Physician 207Q00000X 35. 070982 OH

Addresses

Primary practice location

5818 N Nevada Ave Ste 200
Colorado Springs, CO 80918-3505

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2420

Other practice location 1

1101 Teller County Road 1
Cripple Creek, CO 80813
Phone (719) 776-4300

Other practice location 2

1101 Teller County Road 1
Cripple Creek, CO 80813
Phone (719) 776-4300

Other practice location 3

4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

Other identifiers 2

IdentifierTypeStateIssuer
2092702MedicaidOH
43633340MedicaidCO

Other names 1

  • Michele Lynn Kratzer Former name

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
I20111220000318 CO Practitioner - Family Practice 1951577055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

5818 N Nevada Ave
Suite 200
Colorado Springs, CO 80918-3505
Phone (719) 364-2554

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48751COMDFamily Medicine Physician
35. 070982OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. Family Medicine CurrentSince Feb 4, 2017 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Feb 4, 2017 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 12, 2022 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

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

1101 County Road 1
Cripple Creek, CO 80813
Phone (719) 650-1210

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1962473157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 N NEVADA AVE STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183505",
            "telephone_number": "719-599-0444",
            "fax_number": "719-365-7150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 TELLER COUNTY ROAD 1",
            "address_purpose": "LOCATION",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "country_code": "US",
            "telephone_number": "719-776-4300",
            "fax_number": "719-689-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 TELLER COUNTY ROAD 1",
            "address_purpose": "LOCATION",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "80813",
            "country_code": "US",
            "telephone_number": "719-776-4300",
            "fax_number": "719-689-6303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4190 E Woodmen Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809208075",
            "country_code": "US",
            "telephone_number": "719-632-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48751",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35. 070982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2092702",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43633340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "KRATZER",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.