CARLY L FORE CRNA
NPI 1487905758
Nurse Anesthetist, Certified Registered in Colorado Springs, CO

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST STE 1183, COLORADO SPRINGS, CO 80909(719) 365-6999 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 11, 2026, Mar 17, 2018, Feb 28, 2018 (3 updates tracked since 2018).

About Carly L Fore Crna NPPES

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

CARLY L FORE CRNA (NPI 1487905758) is an individual nurse anesthetist, certified registered in Colorado Springs, Colorado, licensed in Colorado (APN.0993600-CRNA) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487905758
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCARLY L FORECredential: CRNA
Location Address1400 E BOULDER ST STE 1183Colorado Springs, CO 80909-5533
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4034 · Fax (970) 490-4347
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 27, 2012
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1487905758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in CO · APN.0993600-CRNA✔ Licensed in FL · RN9220923
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1400 E BOULDER ST STE 1183, Colorado Springs, CO 80909

Secondary Practice Location 1

Location 183 W Miller StOrlando, FL 32806-2031 · Phone (954) 838-2588 · Fax (954) 514-3979

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly L Fore Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820238777
PECOS Enrollment IDI20180329000383
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Carly Fore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
Anesthesiology
900 CARILLON PKWY STE 205
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Anesthesiologists Of Greater Orlando Inc
  • 530 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Nurse Anesthetist, Certified Registered
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiologist Assistant
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST STE 1183
COLORADO SPRINGS, CO 80909

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 Carly Fore's NPI number?

The NPI number for Carly Fore is 1487905758. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Carly Fore located?

Carly Fore practices at 1400 E Boulder St Ste 1183, Colorado Springs, CO 80909. The listed phone number is (719) 365-6999.

What is Carly Fore's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Carly Fore enrolled in Medicare?

Yes. Carly Fore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carly Fore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Fore reassigns Medicare benefits to 2 organizations: Poudre Valley Medical Group, LLC (Loveland, CO) and Greater Florida Anesthesiologists, LLC (St Petersburg, FL). Each 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 Carly Fore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Fore accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan and Select Health list Carly Fore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Fore was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.