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MR. JONATHAN GRAVGAARD PA-C
NPI 1952787764
Physician Assistant - Medical in Colorado Springs, CO

Active since August 04, 2015PECOS Enrolled
3630 SINTON RD STE 100, COLORADO SPRINGS, CO 80907(719) 359-8812 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jonathan Gravgaard Pa-c NPPES

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

MR. JONATHAN GRAVGAARD PA-C (NPI 1952787764) is an individual medical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0004875) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952787764
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JONATHAN GRAVGAARDCredential: PA-C
Location Address3630 SINTON RD STE 100Colorado Springs, CO 80907-5072
Mailing Address831 Weber Ridge PtColorado Springs, CO 80903-7000 · (678) 468-3068
Phone(719) 359-8812
Sole ProprietorYes
Enumeration DateAugust 4, 2015
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1952787764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CO · PA.0004875✔ Licensed in SC · 2396
Also ListedPhysician AssistantTaxonomy 363A00000X
3630 SINTON RD STE 100, Colorado Springs, CO 80907
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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. Jonathan Gravgaard 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.

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.

JOSEPH C HAMMOCK PHD PC
Psychologist (Clinical)
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (719) 460-9055
DR. JOSEPH C HAMMOCK JR. PHD
Psychologist (Clinical)
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (719) 460-9055
GAARD MEDICAL CONSULTANTS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (678) 468-3068
CAROLYN MELISSA HAMMOCK LMFT
Marriage & Family Therapist
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (719) 460-7813
SOUTHERN COLORADO TMS CENTER, LLC
Clinic/Center (Multi-Specialty)
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (719) 359-8812
DR. JOHN LAWRENCE FLEMING M.D.
Psychiatry & Neurology (Psychiatry)
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (719) 471-7206
CATLIN BARNES PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3630 SINTON RD STE 100
COLORADO SPRINGS, CO 80907
El Paso County (814) 881-2669

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 Jonathan Gravgaard's NPI number?

The NPI number for Jonathan Gravgaard is 1952787764. It was assigned to this individual provider in the NPPES registry on August 4, 2015.

Where is Jonathan Gravgaard located?

Jonathan Gravgaard practices at 3630 Sinton Rd Ste 100, Colorado Springs, CO 80907. The listed phone number is (719) 359-8812.

What is Jonathan Gravgaard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jonathan Gravgaard enrolled in Medicare?

Yes. Jonathan Gravgaard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Gravgaard was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.