ALICIA HENNESSEE (FNP, AGACNP, DNP) – Family Nurse Practitioner, NPI 1174176457
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,201 NURSE PRACTITIONER in CO
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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
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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
| Company | Amount |
|---|---|
| ABBVIE INC. | $182 |
| Nevro Corp. | $53 |
| Bayer Healthcare Pharmaceuticals Inc. | $51 |
| ITI, Inc. | $37 |
| Takeda Pharmaceuticals U.S.A., Inc. | $15 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220622000529 | I | Nurse Practitioner | CO | TBD |
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.
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)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | MI | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | TX | |
| Internal Medicine | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO |
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