MS. CLARISA HERNANDEZ-KOOGLE (FNP-BC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316305147
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for MS. CLARISA HERNANDEZ-KOOGLE (FNP-BC, PMHNP-BC)
16192 OLD FOREST PT APT 201
MONUMENT, CO 801328697
Phone: (303) 618-3523
Type: Mailing
9397 CROWN CREST BLVD STE 440
PARKER, CO 801388789
Phone: (970) 310-3406
Type: Mailing
Penrose Hospital, 2222, North Nevada Avenue, Colorado Springs, El Paso County, Colorado, 80907, United States
COLORADO SPRINGS, CO 809076819
Phone: (719) 538-2900
Fax: (719) 538-2950
Type: Location
6566 N MARKSHEFFEL RD STE 100
COLORADO SPRINGS, CO 809234252
Phone: (719) 540-2146
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Alkermes, Inc. ($39).
Total Amount
$60
General + Research + Ownership
Payments
3
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $39 |
| Axsome Therapeutics, Inc. | $20 |
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: 2016-02-24
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 |
|---|---|---|---|---|
| I20160224002841 | 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 80132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Mental Health Counselor | CO | |
| Nurse Practitioner | CO | |
| Mental Health Counselor | TX | |
| - | CO | |
| - | CO | |
| - | CO | |
| Mental Health Counselor | VA | |
| - | CO | |
| P S Y C H I A T R Y | MD |
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