PIKES PEAK NEPHROLOGY ASSOCIATES PC
NPI 1114527967
Internal Medicine - Nephrology in Colorado Springs, CO
About Pikes Peak Nephrology Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIKES PEAK NEPHROLOGY ASSOCIATES PC (NPI 1114527967) is a healthcare organization registered as a nephrology in Colorado Springs, Colorado and active in the NPI registry since October 2020. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Jeanine I Pittman, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pikes Peak Nephrology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Pikes Peak Nephrology Associates PC, which bills Medicare for the services they deliver. Of these, 14 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (19)
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 for Provider-Performed Microscopy Procedures (PPMP) 06D0517601
Pikes Peak Nephrology Associates PC · Colorado Springs, COFrequently 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 Pikes Peak Nephrology Associates PC's NPI number?
The NPI number for Pikes Peak Nephrology Associates PC is 1114527967. It was assigned to this organization in the NPPES registry on October 30, 2020.
Where is Pikes Peak Nephrology Associates PC located?
Pikes Peak Nephrology Associates PC is located at 6071 E Woodmen Rd, Colorado Springs, CO 80923. The listed phone number is (719) 638-1223.
What is Pikes Peak Nephrology Associates PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Pikes Peak Nephrology Associates PC enrolled in Medicare?
Yes. Pikes Peak Nephrology Associates PC is registered in the Medicare PECOS enrollment system.
When is Pikes Peak Nephrology Associates PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pikes Peak Nephrology Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Pikes Peak Nephrology Associates PC. 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. The largest specialties are Nephrology (8), Nurse Practitioner (6) and Diagnostic Radiology (2). Of these, 14 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pikes Peak Nephrology Associates PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0517601) is associated with this NPI, valid through August 31, 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 Pikes Peak Nephrology Associates PC was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Pikes Peak Nephrology Associates Pc · NPI 1114527967
Nephrology organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since October 30, 2020.
## Identity
- **NPI:** 1114527967 (Entity type: Organization)
- **Enumerated:** October 30, 2020
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Jeanine Pittman, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 6071 E WOODMEN RD, Colorado Springs, CO 80923-2607
- **Phone:** (719) 638-1223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (8), Nurse Practitioner (6), Diagnostic Radiology (2); 14 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2020
- **Other identifiers:** Medicaid 04850046 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114527967) · Data from the CMS NPPES public registry.