SUNRISE HEALTH CARE, PC
NPI 1164662052
Family Medicine in Colorado Springs, CO

Active since March 05, 2009CLIA 06D1020189 · Waiver
4020 PALMER PARK BLVD, SUITE 101B, COLORADO SPRINGS, CO 80909(719) 577-9977(719) 577-9911 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sunrise Health Care, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE HEALTH CARE, PC (NPI 1164662052) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Grace N Nweke, President, as its authorized official.

NPPES Registry Identity

NPI1164662052
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUNRISE HEALTH CARE, PC
Location Address4020 PALMER PARK BLVD, SUITE 101BColorado Springs, CO 80909-3433
Mailing Address4020 Palmer Park Blvd, Suite 101bColorado Springs, CO 80909-3433 · (719) 577-9977 · Fax (719) 577-9911
Fax(719) 577-9911
Organization SubpartNo
Authorized OfficialGrace N NwekePresident · (719) 577-9977
Enumeration DateMarch 5, 2009
Last NPPES UpdateMarch 14, 2017
✔ NPI 1164662052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34753 (CO)
4020 PALMER PARK BLVD, Colorado Springs, CO 80909

Other Identifiers 1

Medicaid74575724CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Sunrise Health Care, 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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20090520000540Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sunrise Health Care, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1346209384
4020 PALMER PARK BLVD SUITE 101-B
Colorado Springs, CO 80909
(719) 577-9977
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1851872527
12106 RIO SECCO RD
Peyton, CO 80831
(719) 963-8772
✔ PECOS11 mi
Neurology
NPI 1174576037
6801 S YOSEMITE ST STE 402
Centennial, CO 80112
(303) 773-9000
✔ PECOS✔ Accepts Medicare51 mi

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 06D1020189

Sunrise Healthcare Dba Four Points Family Medical Center · Colorado Springs, CO
Active · expires Nov 15, 2027
CLIA Number06D1020189
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorGrace N. Nweke
Laboratory Phone(719) 577-9977
Laboratory LocationSunrise Healthcare Dba Four Points Family Medical Center4020 Palmer Park Blvd Ste 101-B, Colorado Springs, CO 80909
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunrise Health Care, PC's NPI number?

The NPI number for Sunrise Health Care, PC is 1164662052. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Sunrise Health Care, PC located?

Sunrise Health Care, PC is located at 4020 Palmer Park Blvd Suite 101B, Colorado Springs, CO 80909. The listed phone number is (719) 577-9977.

What is Sunrise Health Care, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sunrise Health Care, PC enrolled in Medicare?

Yes. Sunrise Health Care, PC is registered in the Medicare PECOS enrollment system.

When is Sunrise Health Care, 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 Sunrise Health Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sunrise Health Care, PC, in Clinical Social Worker, Internal Medicine and Neurology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sunrise Health Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D1020189) is associated with this NPI, valid through November 15, 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 Sunrise Health Care, PC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.