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AGEWELL MEDICAL ASSOCIATES, PC
NPI 1144341959
Clinic/Center - Primary Care in Colorado Springs, CO

Active since April 02, 2007CLIA 06D0928580 · Waiver
2350 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910(719) 475-5065(719) 475-5797 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1144341959
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAGEWELL MEDICAL ASSOCIATES, PC
Location Address2350 INTERNATIONAL CIRColorado Springs, CO 80910-3139
Mailing Address2350 International CirColorado Springs, CO 80910-3139 · (719) 475-5065 · Fax (719) 475-5797
Phone(719) 475-5065
Fax(719) 475-5797
Organization SubpartNo
Authorized OfficialJeffrey T KulpOwner · (719) 475-5065
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 30, 2012
✔ NPI 1144341959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2350 INTERNATIONAL CIR, Colorado Springs, CO 80910
Open in Google Maps ↗

Other Identifiers 2

Medicare PINDF7570CO
Medicare PINC808193CO

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, CO
Active · expires May 20, 2027
CLIA Number06D0928580
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJeffrey T. Kulp
Laboratory Phone(719) 475-5065
Laboratory LocationAgewell Medical Associates PC2350 International Cir, Colorado Springs, CO 80910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE MARIA VANLANDINGHAM MD
Family Medicine
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065
LILY WRAY
Physician Assistant
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065
DR. MICHAEL PHILLIP KENNY PSY.D.
Psychologist (Clinical)
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 238-3010
JANICE GAIL CATHEY NP-C
Nurse Practitioner (Adult Health)
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065
PAULA K HARDY ANP
Nurse Practitioner (Adult Health)
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065
AMANDA JEAN SMITH DO
Internal Medicine
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (267) 475-5643
WHITNEY MARKIE NP-C
Nurse Practitioner (Family)
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065
LISA DEMERS FOSTER NP
Nurse Practitioner (Adult Health)
2350 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-5065

Frequently 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.

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.