1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Physician Assistant
  6. NPI Profile

SALLY GONZALES-APODACA C.P.A.
NPI 1114164795
Physician Assistant in Pueblo, CO

Active since January 19, 2009PECOS Enrolled
1339 S PUEBLO BLVD, PUEBLO, CO 81005(719) 564-9400(719) 564-0497 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Gonzales-apodaca C.p.a. NPPES

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

SALLY GONZALES-APODACA C.P.A. (NPI 1114164795) is an individual physician assistant in Pueblo, Colorado, licensed in Colorado (117) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114164795
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLY GONZALES-APODACACredential: C.P.A.
Location Address1339 S PUEBLO BLVDPueblo, CO 81005-1686
Mailing Address1080 Chinook LnPueblo, CO 81001-1850 · (719) 564-9400 · Fax (719) 564-0497
Phone(719) 564-9400
Fax(719) 564-0497
Sole ProprietorNo
Enumeration DateJanuary 19, 2009
Last NPPES UpdateJanuary 23, 2018
✔ NPI 1114164795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 117
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1339 S PUEBLO BLVD, Pueblo, CO 81005
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Gonzales-apodaca C.p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers35 claims40 services$19.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$7.81 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers56 claims57 services$108.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NANCY WALLER PA
Physician Assistant (Medical)
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 647-5831
BOONE GUEST HOME
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 564-0163
DESTINY INCORPORATED
Day Training, Developmentally Disabled Services
1339 S PUEBLO BLVD
PUEBLO, CO 81005
Pueblo County (719) 564-0163

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 Sally Gonzales-apodaca's NPI number?

The NPI number for Sally Gonzales-apodaca is 1114164795. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Sally Gonzales-apodaca located?

Sally Gonzales-apodaca practices at 1339 S Pueblo Blvd, Pueblo, CO 81005. The listed phone number is (719) 564-9400.

What is Sally Gonzales-apodaca's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sally Gonzales-apodaca enrolled in Medicare?

Yes. Sally Gonzales-apodaca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Gonzales-apodaca was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.