Individual provider Active NPI

Robert Steven Gazaway, FNP-C

  • Family Nurse Practitioner
  • Air Force Academy, CO
National Provider Identifier
1144297409
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994748-NP Issued in CO
Practice address
Usaf 4102 Pinion Drive
Air Force Academy, CO 80840-2502
Phone
(719) 524-2273
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994748-NP CO Primary

Addresses

Primary practice location

Usaf 4102 Pinion Drive
Air Force Academy, CO 80840-2502

Mailing address

Usaf 4102 Pinion Drive
Air Force Academy, CO 80840-2502

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
I20191021003453 CO Practitioner - Nurse Practitioner 8527390764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
76.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Sep 1, 2023 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Oct 26, 2022 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC Nurse Practitioner Current Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1750 W Uintah St
Colorado Springs, CO 80904
Phone (719) 325-0344

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

Interoperability endpoints

  • Direct secure messaging: robert.gazaway@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1144297409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USAF 4102 PINION DRIVE",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "808402502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USAF 4102 PINION DRIVE",
            "city": "AIR FORCE ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-524-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZAWAY",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994748-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Air Force Academy, CO

Sources for this page

Verify at the official NPI Registry.