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OPTUMCARE COLORADO MEDICAL GROUP LLC
NPI 1952652422
Non-Pharmacy Dispensing Site in Colorado Springs, CO

Active since September 25, 2012
1106 N CASCADE AVE, COLORADO SPRINGS, CO 80903(719) 389-6384 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Aug 20, 2019, Mar 23, 2017 (3 updates tracked since 2017).

About Optumcare Colorado Medical Group Llc NPPES

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

OPTUMCARE COLORADO MEDICAL GROUP LLC (NPI 1952652422), doing business as Optumcare Colorado Springs Llc, is a healthcare organization registered as a non-pharmacy dispensing site in Colorado Springs, Colorado and active in the NPI registry since September 2012. The organization lists Emily Castillo, Associate Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1952652422
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameOPTUMCARE COLORADO MEDICAL GROUP LLC
Location Address1106 N CASCADE AVEColorado Springs, CO 80903-1355
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(719) 389-6384
Organization SubpartYes
Authorized OfficialEmily CastilloAssociate Director Credentialing · (702) 579-3253
Enumeration DateSeptember 25, 2012
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1952652422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Also ListedGeneral PracticeTaxonomy 208D00000X
1106 N CASCADE AVE, Colorado Springs, CO 80903
Open in Google Maps ↗

Other Names 4

Former Legal Business NameOptumcare Colorado Springs Llc
Doing Business AsOptum Colorado Springs At Colorado College
Former Legal Business NameColorado Springs Health Partners Llc
Former Legal Business NameDavita Medical Group Colorado Springs Llc

Other Identifiers 1

Medicaid04740080CO

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

Other Providers at the Same Location NPPES 5

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

MS. ANN LAWRENCE WHITLOCK RN,MSN,NP
Nurse Practitioner (Adult Health)
1106 N CASCADE AVE
COLORADO SPRINGS, CO 80903
El Paso County (719) 389-6384
ALESIA RISNES SOVA NP
Nurse Practitioner (Women's Health)
1106 N CASCADE AVE
COLORADO SPRINGS, CO 80903
El Paso County (719) 389-6384
COLORADO COLLEGE COUNSELING CENTER
Psychologist (Clinical)
1106 N CASCADE AVE
COLORADO SPRINGS, CO 80903
El Paso County (719) 389-6384
ALEXIS WILBERT PSY.D.
Psychologist (Clinical)
1106 N CASCADE AVE
COLORADO SPRINGS, CO 80903
El Paso County (207) 558-3314
THE COLORADO COLLEGE BOETTCHER HEALTH CENTER
Clinic/Center (Student Health)
1106 N CASCADE AVE
COLORADO SPRINGS, CO 80903
El Paso County (719) 389-6384

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 Optumcare Colorado Medical Group LLC's NPI number?

The NPI number for Optumcare Colorado Medical Group LLC is 1952652422. It was assigned to this organization in the NPPES registry on September 25, 2012. The provider is doing business as Optum Colorado Springs at Colorado College. The provider was formerly known as Optumcare Colorado Springs LLC, Colorado Springs Health Partners LLC and DaVita Medical Group Colorado Springs LLC.

Where is Optumcare Colorado Medical Group LLC located?

Optumcare Colorado Medical Group LLC is located at 1106 N Cascade Ave, Colorado Springs, CO 80903. The listed phone number is (719) 389-6384.

What is Optumcare Colorado Medical Group LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Optumcare Colorado Medical Group LLC was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.