NICOLE GUNDERSEN PA-C
NPI 1306481734
Physician Assistant in Colorado Springs, CO

Active since November 08, 2019PECOS Enrolled
175 S UNION BLVD STE 200, COLORADO SPRINGS, CO 80910(719) 372-5555 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2021, Nov 8, 2019 (2 updates tracked since 2019).

About Nicole Gundersen Pa-c NPPES

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

NICOLE GUNDERSEN PA-C (NPI 1306481734) is an individual physician assistant in Colorado Springs, Colorado and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306481734
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE GUNDERSENCredential: PA-C
Location Address175 S UNION BLVD STE 200Colorado Springs, CO 80910-3117
Mailing AddressPo Box 7702Loveland, CO 80537-0702 · (970) 663-2742 · Fax (970) 342-2093
Sole ProprietorNo
Enumeration DateNovember 8, 2019
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1306481734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

175 S UNION BLVD STE 200, Colorado Springs, CO 80910

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole Gundersen Pa-c 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 80910 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 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier14 claims14 services$865.03 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier17 claims34 services$268.44 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 4

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

Radiology (Vascular & Interventional Radiology)
175 S UNION BLVD STE 200
COLORADO SPRINGS, CO 80910
Nurse Practitioner (Family)
175 S UNION BLVD STE 200
COLORADO SPRINGS, CO 80910
Surgery (Vascular Surgery)
175 S UNION BLVD STE 200
COLORADO SPRINGS, CO 80910
Nurse Practitioner
175 S UNION BLVD STE 200
COLORADO SPRINGS, CO 80910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306481734, enumerated as an "individual" on November 08, 2019.

The provider is located at 175 S UNION BLVD STE 200 COLORADO SPRINGS, CO 80910 and the phone number is (719) 372-5555.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.