EMILY ANN EICKSTAEDT AGNP
NPI 1376214106
Nurse Practitioner - Gerontology in Colorado Springs, CO

Q: What is Emily Eickstaedt's NPI number?

The NPI number for Emily Eickstaedt is 1376214106. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Q: What is Emily Eickstaedt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Emily Eickstaedt was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 22, 2021PECOS Enrolled

2502 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909(719) 314-2327 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Sep 22, 2021 (2 updates tracked since 2021).

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About Emily Ann Eickstaedt Agnp NPPES

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

EMILY ANN EICKSTAEDT AGNP (NPI 1376214106) is an individual gerontology provider in Colorado Springs, Colorado, licensed in Colorado (APN.0996941-NP) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Colorado Springs, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376214106

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameEMILY ANN EICKSTAEDTCredential: AGNP

Location Address2502 E PIKES PEAK AVEColorado Springs, CO 80909-6033

Mailing Address2502 E Pikes Peak AveColorado Springs, CO 80909-6033 · (719) 314-2327

Phone(719) 314-2327

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 22, 2021

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1376214106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in CO · APN.0996941-NP

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APN.0996941-NP (CO)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APN.0996941-NP (CO)

2502 E PIKES PEAK AVE, Colorado Springs, CO 80909

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Secondary Practice Location 1

Location 12877 E Fountain BlvdColorado Springs, CO 80910-2312 · Phone (719) 454-6009

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ann Eickstaedt Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840700100

PECOS Enrollment IDI20250606001501

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 80909 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

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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