Individual provider Active NPI

Nicholas Vito Augelli, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colorado Springs, CO
National Provider Identifier
1174592414
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
CDR.0004679 Issued in CO
Practice address
1400 E Boulder St # 700
Colorado Springs, CO 80909-5533
Phone
(719) 364-3278
Fax
(719) 365-7668
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 34725-20 WI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X CDR.0004679 CO Primary

Addresses

Primary practice location

1400 E Boulder St # 700
Colorado Springs, CO 80909-5533

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 731-8900

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900

Other identifiers 1

IdentifierTypeStateIssuer
1294825MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO, LA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040607000866 WI Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1951383462 Reassigns benefits to 1 organization
I20250219000560 CO Practitioner - Thoracic Surgery 1951383462 Reassigns benefits to 1 organization
I20250815004291 LA Practitioner - Thoracic SurgeryPractitioner - General Surgery 1951383462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 919229
Dallas, TX 75391

PO Box
Suite 919229
Dallas, TX 75391-9229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0004679COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 15, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Jun 30, 2025 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Thedacare, Incorporated CurrentSince Aug 25, 2014 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Jun 30, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2025 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Ste 700
Colorado Springs, CO 80909
Phone (719) 365-7172

1400 E Boulder St
#700
Colorado Springs, CO 80909
Phone (719) 364-3278

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

1600 N Grand Ave
Ste 500
Pueblo, CO 81003
Phone (719) 545-0663

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

155 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 234-7777

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

425 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2400

Interoperability endpoints

  • Direct secure messaging: naugelli5314946@direct.casso.us.com
  • Direct secure messaging: naugelli836059@direct.froedtert.com

Organizations & group practices 7

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1174592414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-731-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST # 700",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-364-3278",
            "fax_number": "719-365-7668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-731-8900",
            "fax_number": "920-738-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGELLI",
        "first_name": "NICHOLAS",
        "middle_name": "VITO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "34725-20",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "CDR.0004679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1294825",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.