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

Katy Rose Lipscomb Cardozo, PA-C

Individual provider Physician Assistant · NPI 1053068734

Katy Rose Lipscomb Cardozo, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2021, 5 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
5
Licensed in
CO, TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1625 Medical Center Pt Ste 220
Colorado Springs, CO 80907-5798
Phone: (719) 364-5080
Fax: (719) 364-5081
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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.0009113 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA15520 (TX)

Record details

NPI number1053068734
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 3, 2022
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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