Kenneth Gordon Meyers Jr., NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0996511 Issued in CO

Practice address

1605 N Union Blvd
Colorado Springs, CO 80909-2828

Phone

(719) 635-3764

Fax

(719) 635-7593

NPI assigned

Sep 15, 2021

Last updated

Sep 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.meyers.1@14209.direct.athenahealth.com

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.

• Mednow Clinics, Inc

  dba MedNOW Clinics - Aurora

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1669888764
  Medicare reassignment Care Compare group NPD
• Apex Physical Medicine and Rehabilitation Professional LLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1326229287

  Primary Care

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO

  Medicare reassignment NPD
• Apex Physical Medicine and Rehabilitation Professional LLC

  • Physical Medicine & Rehabilitation Physician
  • Colorado Springs, CO
  • NPI 1548093032

  Primary Care

  NPD
• Apex Physical Medicine and Rehabilitation Professional LLC

  • Clinical Medical Laboratory
  • Colorado Springs, CO
  • NPI 1609344290
  NPD
• Mednow Clinics, Inc

  dba MedNOW Clinics - Colorado Springs

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1659119378
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1134899800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 N ACADEMY BLVD STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175152",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092828",
            "telephone_number": "719-635-3764",
            "fax_number": "719-635-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 N Academy Blvd, Suite 3500",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809175152",
            "country_code": "US",
            "telephone_number": "719-632-5700",
            "fax_number": "719-344-7819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Jet Stream Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213938",
            "country_code": "US",
            "telephone_number": "719-635-3764",
            "fax_number": "719-635-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "KENNETH",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "0996511",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "CO",
            "license": "0996511",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0996511",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "0996511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Susan Meyers, RDH, OM
• Deedra K. Meyers, PA - C
• George Julian Meyers IV, MD
• Jennifer Meyers
• John Paul Meyers, DDS
• Maria Meyers
• Nadia Meyers
• Tawny Meyers, LPC, LISAC
• Tyler Alan Meyers, DPT
• Kelsey Meyn

• Primary Care Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.