Individual provider Active NPI

Christina Renee Elliott, ANP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1982170585
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993596 Issued in CO
Practice address
5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone
(719) 471-2273
Fax
(719) 325-8971
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X APN.0993596-NP CO
Family Nurse Practitioner 363LF0000X APN.0993596 CO Primary

Addresses

Primary practice location

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223

Mailing address

34 Sandra LN
Manitou Springs, CO 80829-2716
Phone (719) 685-0151

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
I20230418000268 CO Practitioner - Nurse Practitioner 5991170375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0993596-NPCOMDGeneral Practice Physician
APN.0993596COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Care Family Practice, Inc. CurrentSince Jan 7, 2023 Accepting new patients
Comfort Care Family Practice, Inc. CurrentSince Jan 7, 2023 Accepting new patients

Locations

5799 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273

5799 Stetson Hills Blvd
Colorado Springs, CO 80917
Phone (719) 471-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1982170585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SANDRA LN",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292716",
            "telephone_number": "719-685-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273",
            "fax_number": "719-325-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "APN.0993596-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.