MR. KENNETH GORDON MEYERS JR. NP
NPI 1134899800
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Colorado Springs, CO

Active since September 15, 2021PECOS Enrolled
1605 N UNION BLVD, COLORADO SPRINGS, CO 80909(719) 635-3764(719) 635-7593 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, Sep 15, 2021 (2 updates tracked since 2021).

About Mr. Kenneth Gordon Meyers Jr. Np NPPES

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

MR. KENNETH GORDON MEYERS JR. NP (NPI 1134899800) is an individual program of all-inclusive care for the elderly (pace) provider organization provider in Colorado Springs, Colorado, licensed in Colorado (0996511) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134899800
Entity TypeIndividualMale
Primary Taxonomy251T00000X
Provider Legal NameMR. KENNETH GORDON MEYERS JR.Credential: NP
Location Address1605 N UNION BLVDColorado Springs, CO 80909-2828
Mailing Address5935 Northwind DrColorado Springs, CO 80918-4809 · (719) 200-7589
Fax(719) 635-7593
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2021
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1134899800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Taxonomy Code251T00000X
License Licensed in CO · 0996511
Definition

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.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0996511 (CO)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0996511 (CO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0996511 (CO)
1605 N UNION BLVD, Colorado Springs, CO 80909

Secondary Practice Location 1

Location 11720 Jet Stream Dr Ste 200Colorado Springs, CO 80921-3938 · Phone (719) 635-3764 · Fax (719) 635-7593

Medicare Participation & PECOS Enrollment Status

Kenneth Meyers is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Kenneth Meyers is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7517335730

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20221119000340

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. KENNETH GORDON MEYERS JR. NP

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
1605 N UNION BLVD, STE 200
COLORADO SPRINGS, CO 80909
Physician Assistant (Medical)
1605 N UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80909
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1605 N UNION BLVD, STE 100
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
Physical Medicine & Rehabilitation
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134899800, enumerated as an "individual" on September 15, 2021.

The provider is located at 1605 N UNION BLVD COLORADO SPRINGS, CO 80909 and the phone number is (719) 635-3764.

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.