Gretchen A Broecker, MS, RD, CDE
Individual provider Active NPI Nutrition Education Nutritionist · Frisco, CO
NPI 1164675013 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1164675013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- License
- 885627 (CO)
- Practice address
- 360 Peak One Drive
Ste 260
Frisco, CO 80443-0000 - Phone
- (970) 668-5584
- Fax
- (970) 262-2196
- NPI assigned
- Oct 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Colorado Mountain Medical, LLC
Practice addresses (Care Compare)
50 Buck Creek Rd
Suite 300
Avon, CO 81620-5428
Phone (970) 926-6340
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151130000797 | CO | Practitioner - Registered Dietitian Or Nutrition Professional | 0840590683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 885627 | CO | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, PC | Past | Accepting new patients |
Locations
365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 885627 | CO | Yes |
Addresses
Primary practice location
360 Peak One Drive
Ste 260
Frisco, CO 80443-0000
Mailing address
360 Peak One Dr 390
Frisco, CO 80443
Phone (970) 668-5584
Other practice location 1
365 Dillon Ridge Rd Ste 1200
Dillon, CO 80435-6344
Phone (970) 926-6340
Other practice location 2
50 Buck Creek Rd Ste 300
Avon, CO 81620-5428
Phone (970) 926-6340
Other practice location 3
50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Phone (970) 926-6340
Other names
- Miss Gretchen A Buege
Other providers in Frisco, CO
- Jason Brewer
- Robert Elwood Briggs
- Bristlecone Health Services
- Bristlecone Health Services
- Regan R Brockmeyer
- Elizabeth L Brothers
- Sara Christian Broughton
- Shirley Browner
- Elisabeth M. Brozovich
- Eleanor Lacy Bruin
All providers in Frisco, CO · Nutrition Education Nutritionist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.