OLD COLORADO CITY WELLNESS PLLC
NPI 1154971661
Nurse Practitioner - Family in Colorado Springs, CO
About Old Colorado City Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD COLORADO CITY WELLNESS PLLC (NPI 1154971661) is a healthcare organization registered as a family in Colorado Springs, Colorado and active in the NPI registry since September 2019. The organization lists Jill Elene Smothers, Owner/managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Old Colorado City Wellness Pllc 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 Old Colorado City Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Colorado Springs, CO 80904
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Old Colorado City Wellness PLLC's NPI number?
The NPI number for Old Colorado City Wellness PLLC is 1154971661. It was assigned to this organization in the NPPES registry on September 17, 2019.
Where is Old Colorado City Wellness PLLC located?
Old Colorado City Wellness PLLC is located at 2020 W Colorado Ave # 303, Colorado Springs, CO 80904. The listed phone number is (719) 473-2368.
What is Old Colorado City Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Old Colorado City Wellness PLLC enrolled in Medicare?
Yes. Old Colorado City Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Colorado City Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Old Colorado City Wellness PLLC. 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.
When was this NPI record last updated?
The NPPES record for Old Colorado City Wellness PLLC was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Old Colorado City Wellness Pllc · NPI 1154971661
Family organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1154971661 (Entity type: Organization)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jill Smothers, OWNER/MANAGING MEMBER
## Practice location
- **Address:** 2020 W COLORADO AVE # 303, Colorado Springs, CO 80904-3882
- **Phone:** (719) 473-2368 · **Fax:** (719) 473-4581
## 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:** September 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1154971661) · Data from the CMS NPPES public registry.