Healthcare Provider Details

I. General information

NPI: 1295258887
Provider Name (Legal Business Name): ELENA ADAMS ARCHER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA ADAMS PA-C

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 125
COLORADO SPRINGS CO
80910-3147
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-1950
  • Fax: 719-365-1951
Mailing address:
  • Phone: 719-365-1950
  • Fax: 719-365-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA.0005069
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0005069
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: