AGEWELL MEDICAL ASSOCIATES, PC
NPI 1144341959
Clinic/Center - Primary Care in Colorado Springs, CO
About Agewell Medical Associates, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGEWELL MEDICAL ASSOCIATES, PC (NPI 1144341959) is a healthcare organization registered as a primary care in Colorado Springs, Colorado and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 20, 2027 and lists Jeffrey T Kulp, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Agewell Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Agewell Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 06D0928580
Agewell Medical 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 Agewell Medical Associates, PC's NPI number?
The NPI number for Agewell Medical Associates, PC is 1144341959. It was assigned to this organization in the NPPES registry on April 2, 2007.
Where is Agewell Medical Associates, PC located?
Agewell Medical Associates, PC is located at 2350 International Cir, Colorado Springs, CO 80910. The listed phone number is (719) 475-5065.
What is Agewell Medical Associates, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Agewell Medical Associates, PC enrolled in Medicare?
Yes. Agewell Medical Associates, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Agewell Medical Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Agewell Medical 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 Nurse Practitioner (4), Internal Medicine (2) and Family Practice (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Agewell Medical Associates, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0928580) is associated with this NPI, valid through May 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Agewell Medical Associates, PC was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Agewell Medical Associates, Pc · NPI 1144341959
Primary Care organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1144341959 (Entity type: Organization)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Kulp, OWNER
## Practice location
- **Address:** 2350 INTERNATIONAL CIR, Colorado Springs, CO 80910-3139
- **Phone:** (719) 475-5065 · **Fax:** (719) 475-5797
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (2), Family Practice (1); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2012
- **Other identifiers:** Medicare PIN DF7570 (CO); Medicare PIN C808193 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144341959) · Data from the CMS NPPES public registry.