AVALANCHE FAMILY PRACTICE, LLC
NPI 1093699357
Nurse Practitioner - Family in Colorado Springs, CO
About Avalanche Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVALANCHE FAMILY PRACTICE, LLC (NPI 1093699357) is a healthcare organization registered as a family in Colorado Springs, Colorado and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Christina Proulx, Fnp-bc/ Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avalanche Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Avalanche Family Practice, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Colorado Springs, CO 80918
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2339693
Avalanche Family Practice LLC · Colorado Springs, COPatient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by HELENR ***** May 30, 2026
5/5Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Avalanche Family Practice, LLC's NPI number?
The NPI number for Avalanche Family Practice, LLC is 1093699357. It was assigned to this organization in the NPPES registry on July 31, 2025.
Where is Avalanche Family Practice, LLC located?
Avalanche Family Practice, LLC is located at 3505 Austin Bluffs Pkwy Ste 306, Colorado Springs, CO 80918. The listed phone number is (719) 430-0620.
What is Avalanche Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Avalanche Family Practice, LLC enrolled in Medicare?
Yes. Avalanche Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avalanche Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avalanche Family Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Avalanche Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2339693) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Avalanche Family Practice, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Avalanche Family Practice, Llc · NPI 1093699357
Family organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since July 31, 2025.
## Identity
- **NPI:** 1093699357 (Entity type: Organization)
- **Enumerated:** July 31, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Christina Proulx, FNP-BC/ OWNER
## Practice location
- **Address:** 3505 AUSTIN BLUFFS PKWY STE 306, Colorado Springs, CO 80918-5755
- **Phone:** (719) 430-0620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093699357) · Data from the CMS NPPES public registry.