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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: August 16, 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 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
Phone(719) 635-3764
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

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Gordon Meyers Jr. Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517335730
PECOS Enrollment IDI20221119000340
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.

Other Providers at the Same Location NPPES 7

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

ANNIE YOO FNP-C
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
El Paso County (719) 635-3764
DR. JANAK G JOSHI MD
Internal Medicine
1605 N UNION BLVD, STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 630-1006
JAMI L LAMONICA PA-C
Physician Assistant (Medical)
1605 N UNION BLVD, SUITE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 630-1006
RELIANT RENAL CARE-COLORADO, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1605 N UNION BLVD, STE 100
COLORADO SPRINGS, CO 80909
El Paso County (719) 447-0818
CORTNI CROSS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
El Paso County (719) 635-3764
APEX PHYSICAL MEDICINE AND REHABILITATION PROFESSIONAL LLC
Physical Medicine & Rehabilitation
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
El Paso County (719) 635-3764
SHAWNA ANNE HOOPER FNP
Nurse Practitioner (Family)
1605 N UNION BLVD
COLORADO SPRINGS, CO 80909
El Paso County (719) 387-7900

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 Kenneth Meyers's NPI number?

The NPI number for Kenneth Meyers is 1134899800. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Kenneth Meyers located?

Kenneth Meyers practices at 1605 N Union Blvd, Colorado Springs, CO 80909. The listed phone number is (719) 635-3764.

What is Kenneth Meyers's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Is Kenneth Meyers enrolled in Medicare?

Yes. Kenneth Meyers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Meyers was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.