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MR. KENNETH GORDON MEYERS NP NPI 1134899800


NPI Information

NPI: 1134899800
Provider Name: MR. KENNETH GORDON MEYERS, NP
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2502 E PIKES PEAK AVE STE 100
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 466-8777
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MR. Kenneth Gordon Meyers, NP is a program of all inclusive care for the elderly pace provider organization in Colorado Springs, CO. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. MR. Kenneth Gordon Meyers, NP NPI is 1134899800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2502 E PIKES PEAK AVE STE 100
COLORADO SPRINGS, CO
ZIP 80909-089
Phone: (719) 466-8777

The NPI 1134899800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health0996511COLORADONo
2363LG0600XNurse PractitionerGerontology0996511COLORADONo
3363LP2300XNurse PractitionerPrimary Care0996511COLORADONo
4251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization0996511COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.