NPIMap

Individual provider Active NPI

Tayler Green, NP

  • Gerontology Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1114608221
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0999010-NP Issued in CO
Practice address
1625 Medical Center PT Ste 240
Colorado Springs, CO 80907-8721
Phone
(719) 960-0363
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0999010-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0999010-NP CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 240
Colorado Springs, CO 80907-8721

Mailing address

1625 Medical Center PT Ste 240
Colorado Springs, CO 80907-8721
Phone (719) 960-0363

Other practice location 1

2875 International Cir
Colorado Springs, CO 80910-3144
Phone (719) 389-0070

Other names 1

  • Tayler Sanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304002329 CO Practitioner - Nurse Practitioner 2365896263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CS Cardiology Newco LLCGroup PAC ID 2365805736, 46 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 210
Colorado Springs, CO 80907-5798
Phone (719) 960-0363

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999010-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Cardiology Newco LLC CurrentSince Feb 1, 2026 Accepting new patients
Munni Selagamsetty,MD,PC Internal Medicine CurrentSince Aug 6, 2023 Accepting new patients
CS Cardiology Newco LLC CurrentSince Feb 1, 2026 Accepting new patients
Internal Medicine of the Rockies PastSince Aug 6, 2023 Accepting new patients

Locations

2875 International Cir
Colorado Springs, CO 80910
Phone (719) 389-0070

1625 Medical Center Pt
Ste 210
Colorado Springs, CO 80907
Phone (708) 289-4757

Organizations & group practices 5

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

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1114608221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078721",
            "telephone_number": "719-960-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078721",
            "telephone_number": "719-960-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 International Cir",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103144",
            "country_code": "US",
            "telephone_number": "719-389-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TAYLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0999010-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0999010-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLER",
            "last_name": "SANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.