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GRACE CANON
NPI 1932642444
Anesthesiologist Assistant in Colorado Springs, CO

Active since December 01, 2016Accepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909(719) 365-6999(719) 365-2837 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Canon NPPES

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

GRACE CANON (NPI 1932642444) is an individual anesthesiologist assistant in Colorado Springs, Colorado, licensed in Colorado (ANT.0000107) and active in the NPI registry since December 2016. She maintains a secondary practice location in Atlanta and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932642444
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameGRACE CANON
Location Address1400 E BOULDER ST STE 2508Colorado Springs, CO 80909
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4034 · Fax (970) 490-4347
Phone(719) 365-6999
Fax(719) 365-2837
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 1, 2016
Last NPPES UpdateFebruary 27, 2019
✔ NPI 1932642444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in CO · ANT.0000107✔ Licensed in GA · 008194
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1400 E BOULDER ST STE 2508, Colorado Springs, CO 80909
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Johnson Ferry RdAtlanta, GA 30342-1606 · Phone (770) 645-9181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Canon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123300605
PECOS Enrollment IDI20190417000261

Medicare Billing Reassignment

Medicare enrollment records show Grace Canon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Poudre Valley Medical Group, LLC
109 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
38%128 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. GAELEN ROYCE HORNE D.O.
Anesthesiology
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6999
DR. ROHAN KHURANA M.D.
Internal Medicine
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-1292
DR. MELISSA CARY-JACOBS SCHMOEKEL D.O
Anesthesiology
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6999
AUDREY SONIN CRNA
Nurse Anesthetist, Certified Registered
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6999
JUANA LOPEZ CRNA
Nurse Anesthetist, Certified Registered
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6999
DR. VINCENT NICHOLAS SMITH M.D.
Anesthesiology
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (179) 365-6999
ADAM D BLISS NP
Nurse Practitioner (Gerontology)
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5000
ALAINA WIRT AGCNS-BC
Clinical Nurse Specialist
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5937

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 Grace Canon's NPI number?

The NPI number for Grace Canon is 1932642444. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Grace Canon located?

Grace Canon practices at 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909. The listed phone number is (719) 365-6999.

What is Grace Canon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Grace Canon enrolled in Medicare?

Yes. Grace Canon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Grace Canon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Canon reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Canon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Canon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Sunflower Health Plan list Grace Canon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Canon was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.