ROYAL GORGE PSYCHIATRY
NPI 1073332557
Clinic/Center - Mental Health (Including Community Mental Health Center) in Canon City, CO

Active since October 10, 2024
129 SAVAGE LOOP, CANON CITY, CO 81212(720) 467-9478 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, Oct 10, 2024 (2 updates tracked since 2024).

About Royal Gorge Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROYAL GORGE PSYCHIATRY (NPI 1073332557) is a healthcare organization registered as a mental health (including community mental health center) in Canon City, Colorado and active in the NPI registry since October 2024. The organization lists Karl James Weber, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1073332557
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROYAL GORGE PSYCHIATRY
Location Address129 SAVAGE LOOPCanon City, CO 81212-4185
Mailing Address1501 Main Street, Po Box 102Canon City, CO 81212
Organization SubpartNo
Authorized OfficialKarl James WeberOwner/provider · (719) 420-0238
Enumeration DateOctober 10, 2024
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1073332557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
129 SAVAGE LOOP, Canon City, CO 81212

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Royal Gorge Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Royal Gorge Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1003635582
129 SAVAGE LOOP
Canon City, CO 81212
(720) 467-9478
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Royal Gorge Psychiatry's NPI number?

The NPI number for Royal Gorge Psychiatry is 1073332557. It was assigned to this organization in the NPPES registry on October 10, 2024.

Where is Royal Gorge Psychiatry located?

Royal Gorge Psychiatry is located at 129 Savage Loop, Canon City, CO 81212. The listed phone number is (720) 467-9478.

What is Royal Gorge Psychiatry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Royal Gorge Psychiatry enrolled in Medicare?

Yes. Royal Gorge Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Royal Gorge Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Royal Gorge Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Royal Gorge Psychiatry was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.