Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise Van Leuven

Individual provider Physician Assistant · NPI 1619612009

Elise Van Leuven is a Physician Assistant in Colorado Springs, Colorado. Graduated from University of Colorado School of Medicine, Aurora in 2023, 3 years ago. Practices with Colorado Dermatology Group PLLC, a 4-clinician group. Licensed in Colorado.

Years since qualifying
3
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CO
In the registry since
2022
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Practice location Address checks out

10807 New Allegiance Dr Ste 160
Colorado Springs, CO 80921-3805
Phone: (719) 249-3547
Fax: (720) 925-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0007973 (CO)

Record details

NPI number1619612009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2022
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2023 (3 years in practice)
Group practice Colorado Dermatology Group Pllc — 4 clinicians
Accepts Medicare assignment Not indicated

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