TRIFECTA FAMILY WELLNESS LLC
NPI 1215667936
Family Medicine in Pueblo, CO

Active since June 15, 2022
805 EAGLERIDGE BLVD STE 150, PUEBLO, CO 81008(719) 627-4287(719) 220-7658 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Trifecta Family Wellness Llc NPPES

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

TRIFECTA FAMILY WELLNESS LLC (NPI 1215667936) is a healthcare organization registered as a family medicine in Pueblo, Colorado and active in the NPI registry since June 2022. The organization lists Brandie Quick, Owner, as its authorized official.

NPPES Registry Identity

NPI1215667936
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIFECTA FAMILY WELLNESS LLC
Location Address805 EAGLERIDGE BLVD STE 150Pueblo, CO 81008-2194
Mailing Address805 Eagleridge Blvd Ste 150Pueblo, CO 81008-2194 · (719) 627-4287 · Fax (719) 220-7658
Fax(719) 220-7658
Organization SubpartNo
Authorized OfficialBrandie QuickOwner · (719) 468-1569
Enumeration DateJune 15, 2022
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1215667936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
805 EAGLERIDGE BLVD STE 150, Pueblo, CO 81008

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trifecta Family Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Trifecta Family Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1588460612
805 EAGLERIDGE BLVD STE 140
Pueblo, CO 81008
(719) 627-4287
✔ PECOSSame address
Nurse Practitioner
NPI 1558956086
2308 MEADOWLARK LN
Pueblo, CO 81008
(719) 468-1569
✔ PECOS✔ Accepts Medicare1.1 mi
Family Practice
NPI 1538519384
902 LAKEVIEW AVE
Pueblo, CO 81004
(719) 557-5855
✔ PECOS✔ Accepts Medicare6.0 mi

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 Trifecta Family Wellness LLC's NPI number?

The NPI number for Trifecta Family Wellness LLC is 1215667936. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Trifecta Family Wellness LLC located?

Trifecta Family Wellness LLC is located at 805 Eagleridge Blvd Ste 150, Pueblo, CO 81008. The listed phone number is (719) 627-4287.

What is Trifecta Family Wellness LLC's specialty?

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

Is Trifecta Family Wellness LLC enrolled in Medicare?

Yes. Trifecta Family Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trifecta Family Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Trifecta Family Wellness LLC, in Family Practice and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trifecta Family Wellness LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.