Individual provider Active NPI

Brandon Ryan Dunn, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1043019946
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000655-NP Issued in CO
Practice address
1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone
(303) 600-8563
Fax
(877) 805-7372
NPI assigned
Mar 12, 2025
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000655-NP CO Primary

Addresses

Primary practice location

1923 W Colorado Ave
Colorado Springs, CO 80904-3838

Mailing address

216 Caprice CT
Colorado Springs, CO 80921-2866
Phone (719) 651-3218

Other practice location 1

450 W Jefferson Ave
Englewood, CO 80110-3536
Phone (303) 600-8563

Other identifiers 1

IdentifierTypeStateIssuer
9000243541MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251227000011 CO Practitioner - Nurse Practitioner 0547756728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Mental Wellness LLCGroup PAC ID 5193201184, 5 clinicians

Practice addresses (Care Compare)

1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone (303) 600-8563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.1000655-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Elevate Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Springbok Health Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

1923 W Colorado Ave
Colorado Springs, CO 80904
Phone (303) 600-8563

450 W Jefferson Ave
Englewood, CO 80110
Phone (303) 217-8600

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • CO HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: springbokhealth.brandondunn@152930.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1043019946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CAPRICE CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212866",
            "telephone_number": "719-651-3218",
            "fax_number": "877-805-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043838",
            "telephone_number": "303-600-8563",
            "fax_number": "877-805-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801103536",
            "country_code": "US",
            "telephone_number": "303-600-8563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNN",
        "first_name": "BRANDON",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000655-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000243541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.