| Front Range Urgent Care, Inc. | |
|
5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 | |
| (719) 471-2273 | |
| Not Available |
| Full Name | Front Range Urgent Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5799 Stetson Hills Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anita Wiescamp (OWNER) |
| Authorized Official Contact | 7195100957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Urgent Care, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 Ph: (719) 471-2273 | Front Range Urgent Care, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 Ph: (719) 471-2273 |
| NPI Number | 1457665713 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 2062684574 |
|---|---|
| Medicare Enrollment ID | O20111005000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457665713 | NPI | - | NPPES |
| 07489871 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49109 (Colorado) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 49109 (Colorado) | Primary |
| Provider Name | Aubrey Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619497542 PECOS PAC ID: 1254601925 Enrollment ID: I20170728000822 |
| Provider Name | Jodi Marie Killilea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235647066 PECOS PAC ID: 3072874486 Enrollment ID: I20180228000386 |
| Provider Name | Andrea Verlare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265999676 PECOS PAC ID: 8729327663 Enrollment ID: I20190311002565 |
| Provider Name | Havilah R Spurlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023658713 PECOS PAC ID: 6507297611 Enrollment ID: I20200505001896 |
| Provider Name | Hannah Labove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477087146 PECOS PAC ID: 3274944343 Enrollment ID: I20201120000444 |
| Provider Name | Raegan Brooke Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619662582 PECOS PAC ID: 4789041070 Enrollment ID: I20230531003505 |
| Provider Name | Gerardo Neri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686234 PECOS PAC ID: 6709021629 Enrollment ID: I20231011004056 |
| Provider Name | Tara Rae Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649095639 PECOS PAC ID: 2365978863 Enrollment ID: I20241206002910 |
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