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LACIE L FEDEWA NP
NPI 1760764732
Nurse Practitioner - Family in Colorado Springs, CO

Active since September 15, 2011PECOS Enrolled
2997 BROADMOOR VALLEY RD, COLORADO SPRINGS, CO 80906(719) 355-7333(719) 465-2015 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Jun 10, 2025 (2 updates tracked since 2025).

About Lacie L Fedewa Np NPPES

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

LACIE L FEDEWA NP (NPI 1760764732) is an individual family provider in Colorado Springs, Colorado, licensed in Colorado (APN.0993372-NP) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760764732
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACIE L FEDEWACredential: NP
Location Address2997 BROADMOOR VALLEY RDColorado Springs, CO 80906-4405
Mailing Address15101 E Iliff Ave Ste 140Aurora, CO 80014-4548 · (720) 878-7055 · Fax (720) 390-5188
Phone(719) 355-7333
Fax(719) 465-2015
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 15, 2011
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1760764732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.0993372-NP
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704254325 (MI)
2997 BROADMOOR VALLEY RD, Colorado Springs, CO 80906
Open in Google Maps ↗

Other Names 1

Former Name (1)Lacie L Lorkowski

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacie L Fedewa Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709059876
PECOS Enrollment IDI20250718004176
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 Reassignment

Medicare enrollment records show Lacie Fedewa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mednow Clinics, Inc
Same address
Family Medicine
2997 BROADMOOR VALLEY RD
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 47 clinicians in this Medicare group
NPI 1861284655 (719) 355-7333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80906 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

LAMIJA QUINONEZ NP
Nurse Practitioner (Family)
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (303) 881-0792
KAITLYN SMITH
Behavior Analyst
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 203-4723
EDGAR PAUL POREMBA DDS MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
2997 BROADMOOR VALLEY RD
COLORADO SPGS, CO 80906
El Paso County (719) 576-0149
MEDNOW CLINICS, INC
Family Medicine
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 355-7333
SUMMIT INTEGRATED HEALTH PLLC
Clinic/Center (Multi-Specialty)
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 445-6077
RACHEL THOMAS
Behavior Technician
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 203-4723
EDGAR P POREMBA DDS MSD PC
Dentist (Orthodontics and Dentofacial Orthopedics)
2997 BROADMOOR VALLEY RD
COLORADO SPGS, CO 80906
El Paso County (719) 576-0149
MRS. STEPHANIE J FINK NP
Nurse Practitioner (Obstetrics & Gynecology)
2997 BROADMOOR VALLEY RD
COLORADO SPRINGS, CO 80906
El Paso County (719) 355-7333

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 Lacie Fedewa's NPI number?

The NPI number for Lacie Fedewa is 1760764732. It was assigned to this individual provider in the NPPES registry on September 15, 2011. The provider is also known as Lacie L Lorkowski.

Where is Lacie Fedewa located?

Lacie Fedewa practices at 2997 Broadmoor Valley Rd, Colorado Springs, CO 80906. The listed phone number is (719) 355-7333.

What is Lacie Fedewa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacie Fedewa enrolled in Medicare?

Yes. Lacie Fedewa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacie Fedewa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacie Fedewa reassigns Medicare benefits to Mednow Clinics, Inc (Colorado Springs, CO). The 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 Lacie Fedewa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lacie Fedewa was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.