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

Individual provider Medical Physician Assistant · NPI 1285837799

Simone Patrice Coderellis, PA is a Medical Physician Assistant in Colorado Springs, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone: (719) 471-2273
Fax: (719) 325-8971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4190 E Woodmen Rd, Colorado Springs, CO 80920-8075 — (719) 632-4455

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0008220 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA0008220 (CO)

Record details

NPI number1285837799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024

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