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

Lisa J Thackwell, PA-C

Individual provider Physician Assistant · NPI 1689812257

Lisa J Thackwell, PA-C is a Physician Assistant in Colorado Springs, Colorado. Graduated from Mid West Medical College in 2006, 20 years ago. Practices with Alpine Medical Group Colorado PLLC, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Trained at
Mid West Medical College
Licensed in
CA
In the registry since
2009
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

4190 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8075
Phone: (719) 632-4455
Fax: (360) 462-5181
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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 PA22118 (CA)

Record details

NPI number1689812257
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 2006 (20 years in practice)
Group practice Alpine Medical Group Colorado Pllc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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