TSOMORLOG AUSTIN (FNP-C) – Family Nurse Practitioner, NPI 1184338147

TSOMORLOG AUSTIN (FNP-C) is a healthcare provider. based in Fountain, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APN.0998362-NP (CO). The NPI Number for TSOMORLOG AUSTIN (FNP-C) is 1184338147

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TSOMORLOG AUSTIN (FNP-C)
NPI
1184338147
Phone
(414) 364-4156
Address
7758 HIGH GATE DR
Enumeration Date
12 January 2023
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195642503
Graduation Year
2022 (4 years ago)
PAC ID
5092188607
Group Practice PAC ID
2466341177
Professional Enrollment ID
I20230302000070
Address ID
CO810042075PU517XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for TSOMORLOG AUSTIN (FNP-C)

  • 7758 HIGH GATE DR

    FOUNTAIN, CO 808174232

    Phone: (414) 364-4156

    Type: Mailing

  • 110 E ROUTT AVE

    PUEBLO, CO 810042117

    Phone: (719) 543-8711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,206.

Total Amount is formed as General ($1,206) + Research ($0) + Ownership ($0) = $1,206.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($377).

Total Amount

$1,206

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2023-03-02

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
I20230302000070INurse 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 80817)

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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: 2466341177View full group profile
NameSpecialtyState
Physician AssistantNJ
Nurse PractitionerCO
Allergy/Immunology, Pediatric MedicineHI
A L L E R G Y/ I M M U N O L O G YNC
Physician AssistantCO
Nurse PractitionerCO
A L L E R G Y/ I M M U N O L O G YCO
Physician AssistantSD
Physician AssistantCO
A L L E R G Y/ I M M U N O L O G YCO

Reviews

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Frequently asked questions

What is the standard ID for TSOMORLOG AUSTIN (FNP-C) in the U.S.?
In the U.S., TSOMORLOG AUSTIN (FNP-C) is identified by NPI 1184338147.
Is TSOMORLOG AUSTIN (FNP-C)'s NPI status active today?
Active status means TSOMORLOG AUSTIN (FNP-C)'s NPI record is not deactivated in the public file.
How should patients interpret TSOMORLOG AUSTIN (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for TSOMORLOG AUSTIN (FNP-C). Clinical services aligned with this taxonomy classification.
Is TSOMORLOG AUSTIN (FNP-C) tied to Fountain, Colorado?
If you are local to Fountain, Colorado, TSOMORLOG AUSTIN (FNP-C) may be relevant to your search.
Who maintains TSOMORLOG AUSTIN (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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