NPIMap

Individual provider Active NPI

Cole Anthony Wiedel

  • Urology Physician
  • Salida, CO
National Provider Identifier
1396164265
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DR.0063983 Issued in CO
Practice address
1000 Rush Dr
Salida, CO 81201-9627
Phone
(719) 530-2200
NPI assigned
Apr 8, 2014
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DR.0063983 CO Primary

Addresses

Primary practice location

1000 Rush Dr
Salida, CO 81201-9627

Mailing address

1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2200

Other practice location 1

13001 E. 17th Place
Aurora, CO 80045-2581
Phone (303) 724-2685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urology@HRRMCMedicalClinics.ssdirect.aprima.com

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
I20200625001708 CO Practitioner - Urology 7618298605 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Colorado School of Medicine, Denver, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

28374 County Rd
Suite 317
Buena Vista, CO 81211-9158
Phone (719) 395-9048

707 N Iowa St
Gunnison Valley Health Family Med
Gunnison, CO 81230-2229
Phone (970) 642-8413

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0063983COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Aug 1, 2020 Accepting new patients
Gunnison Valley Hospital CurrentSince Mar 7, 2022 Accepting new patients
Gunnison Valley Hospital CurrentSince Mar 7, 2022 Accepting new patients
Salida Hospital District CurrentSince Aug 1, 2020 Accepting new patients
Gunnison Valley Hospital CurrentSince Aug 1, 2025 Accepting new patients
Salida Hospital District Urology Current Accepting new patients

Locations

28374 County Road 317
Buena Vista, CO 81211
Phone (719) 395-9048

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

Interoperability endpoints

  • Direct secure messaging: cole.wiedel.1@11629.direct.athenahealth.com
  • Direct secure messaging: urology@hrrmcmedicalclinics.ssdirect.aprima.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1396164265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019627",
            "telephone_number": "719-530-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E. 17th Place",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452581",
            "country_code": "US",
            "telephone_number": "303-724-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDEL",
        "first_name": "COLE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "DR.0063983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urology@HRRMCMedicalClinics.ssdirect.aprima.com",
            "affiliation": "N",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.