PIKES PEAK NEPHROLOGY ASSOCIATES PC
NPI 1447851738
Internal Medicine - Nephrology in Pueblo, CO

Active since November 04, 2020
850 EAGLERIDGE BLVD # 100, PUEBLO, CO 81008(866) 493-7217 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pikes Peak Nephrology Associates Pc NPPES

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

PIKES PEAK NEPHROLOGY ASSOCIATES PC (NPI 1447851738) is a healthcare organization registered as a nephrology in Pueblo, Colorado and active in the NPI registry since November 2020. The organization lists Jeanine I Pittman, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1447851738
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePIKES PEAK NEPHROLOGY ASSOCIATES PC
Location Address850 EAGLERIDGE BLVD # 100Pueblo, CO 81008-2148
Mailing Address1914 Lelaray StColorado Springs, CO 80909-2800 · (719) 632-7641 · Fax (719) 632-2925
Organization SubpartNo
Authorized OfficialJeanine I PittmanPractice Administrator · (719) 632-7641
Enumeration DateNovember 4, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1447851738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
850 EAGLERIDGE BLVD # 100, Pueblo, CO 81008

Other Identifiers 1

Medicaid04850046CO

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pikes Peak Nephrology Associates 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 IDO20031216000741Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Pikes Peak Nephrology Associates PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nephrology8
Nurse Practitioner6
Diagnostic Radiology2
Internal Medicine1
Interventional Radiology1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (19)

Nurse Practitioner
NPI 1801584008
3426 LAKE AVE
Pueblo, CO 81004
(719) 561-5264
✔ PECOS✔ Accepts Medicare7.3 mi
Diagnostic Radiology
NPI 1639154123
1400 E BOULDER ST
Colorado Springs, CO 80909
(719) 365-5853
✔ PECOS✔ Accepts Medicare37 mi
Diagnostic Radiology
NPI 1932184421
1400 E BOULDER ST
Colorado Springs, CO 80909
(719) 365-5120
✔ PECOS✔ Accepts Medicare37 mi
Registered Dietitian or Nutrition Professional
NPI 1376936054
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ Accepts Medicare38 mi
Nephrology
NPI 1104824259
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1396867156
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1376589242
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1851376842
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1831770593
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1811351588
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1982214136
1914 LELARAY ST
Colorado Springs, CO 80909
(303) 746-3465
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1962488494
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS38 mi
Nurse Practitioner
NPI 1215692413
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 955-2651
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1679605265
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Nephrology
NPI 1841710712
1914 LELARAY ST
Colorado Springs, CO 80909
(719) 632-7641
✔ PECOS✔ Accepts Medicare38 mi
Internal Medicine
NPI 1578761003
9777 S YOSEMITE ST STE 11
Lone Tree, CO 80124
(720) 696-0852
✔ PECOS✔ Accepts Medicare85 mi
Nurse Practitioner
NPI 1790733624
9777 S YOSEMITE ST STE 110
Lone Tree, CO 80124
(907) 375-5200
✔ PECOS✔ Accepts Medicare85 mi
Nurse Practitioner
NPI 1245866946
2115 STUART AVE
Alamosa, CO 81101
(719) 589-8063
✔ PECOS✔ Accepts Medicare91 mi
Interventional Radiology
NPI 1457552937
5275 DTC PKWY
Greenwood Village, CO 80111
(303) 695-6106
✔ PECOS✔ Accepts Medicare91 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 Pikes Peak Nephrology Associates PC's NPI number?

The NPI number for Pikes Peak Nephrology Associates PC is 1447851738. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Pikes Peak Nephrology Associates PC located?

Pikes Peak Nephrology Associates PC is located at 850 Eagleridge Blvd # 100, Pueblo, CO 81008. The listed phone number is (866) 493-7217.

What is Pikes Peak Nephrology Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pikes Peak Nephrology Associates PC enrolled in Medicare?

Yes. Pikes Peak Nephrology Associates PC is registered in the Medicare PECOS enrollment system.

When is Pikes Peak Nephrology Associates 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 Pikes Peak Nephrology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Pikes Peak Nephrology 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 Nephrology (8), Nurse Practitioner (6) and Diagnostic Radiology (2). Of these, 1 practice 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 Pikes Peak Nephrology Associates PC was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.