ALICIA HENNESSEE (FNP, AGACNP, DNP) – Family Nurse Practitioner, NPI 1174176457

ALICIA HENNESSEE (FNP, AGACNP, DNP) is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, AGACNP, DNP. They hold a License No. 0994777 (CO). The NPI Number for ALICIA HENNESSEE (FNP, AGACNP, DNP) is 1174176457

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA HENNESSEE (FNP, AGACNP, DNP)
NPI
1174176457
Phone
(719) 471-2273
Address
5799 STETSON HILLS BLVD
Enumeration Date
16 July 2019
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
2961881933
Group Practice PAC ID
2961936927
Professional Enrollment ID
I20220622000529
Address ID
CO805162505ER2584XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Loading map...

Provider Addresses for ALICIA HENNESSEE (FNP, AGACNP, DNP)

  • Stetson Hills Boulevard, Colorado Springs, El Paso County, Colorado, 80938, United States

    COLORADO SPRINGS, CO 809174223

    Phone: (719) 471-2273

    Type: Location

  • PO BOX 479

    ERIE, CO 805160479

    Phone: (720) 607-9207

    Fax: (720) 738-7873

    Type: Mailing

  • 2584 RESERVE ST

    ERIE, CO 805162505

    Phone: (720) 607-9207

    Fax: (720) 738-7873

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: ABBVIE INC. ($182).

Total Amount

$364

General + Research + Ownership

Payments

14

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220622000529INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80917)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961936927View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Internal MedicineMI
Nurse PractitionerCO
Nurse PractitionerTX
Internal MedicineCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for ALICIA HENNESSEE (FNP, AGACNP, DNP)?
Save NPI 1174176457 if you need a stable reference for ALICIA HENNESSEE (FNP, AGACNP, DNP).
Is ALICIA HENNESSEE (FNP, AGACNP, DNP) currently active in the NPI registry?
CMS-published data lists ALICIA HENNESSEE (FNP, AGACNP, DNP) as an active registrant.
Does ALICIA HENNESSEE (FNP, AGACNP, DNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ALICIA HENNESSEE (FNP, AGACNP, DNP). Clinical services aligned with this taxonomy classification.
Where is ALICIA HENNESSEE (FNP, AGACNP, DNP)'s primary listing?
We display Colorado Springs, Colorado because that is what the record indicates for ALICIA HENNESSEE (FNP, AGACNP, DNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

LESLIE MONAGLE (CFNP)

Family Nurse Practitioner
7788 JEFFERSON ST NE
NPI: 1841299062

MS. JACQUELINE E. BORTNER (CRNP)

Family Nurse Practitioner
1400 E BOULDER ST STE 600
NPI: 1346234366

MRS. SUSAN DISSELKOEN SCHMIDT (NP)

Family Nurse Practitioner
2500, South Havana Street, Aurora, Arapahoe County, Colorado, 80014, United States
NPI: 1750375226

JENNIFER REBECCA MILLER (ARNP)

Psychiatric/Mental Health Nurse Practitioner
3280 E WOODMEN RD STE 200
NPI: 1235124603

MR. FRED CAMPBELL LEGE (ARNP)

Family Nurse Practitioner
27 E VERMIJO AVE STE 16
NPI: 1932194875
2510, West Bijou Street, Old Colorado City, Colorado Springs, El Paso County, Colorado, 80904, United States
NPI: 1932195054

MS. LORADA JEAN SHRAWDER (RN, FNP)

Family Nurse Practitioner
2610, Warrenton Way, Elsmere, Colorado Springs, El Paso County, Colorado, 80922, United States
NPI: 1316933427