Individual provider Active NPI

Rosa Louise Brey Gardner, PA

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1417468547
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005504 Issued in CO
Practice address
1060 Orchard Ave Unit N
Grand Junction, CO 81501-2997
Phone
(970) 644-3740
Fax
(970) 644-3763
NPI assigned
Oct 16, 2017
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1902 NV
Physician Assistant 363A00000X PA.0005504 CO Primary

Addresses

Primary practice location

1060 Orchard Ave Unit N
Grand Junction, CO 81501-2997

Mailing address

1450 Idlewild Dr Unit 428
Reno, NV 89509-1075
Phone (406) 599-1056

Other practice location 1

2643 Patterson Rd Ste 603
Grand Junction, CO 81506-1937
Phone (970) 298-3801

Other practice location 2

25 McCabe Dr
Reno, NV 89511-5991
Phone (775) 982-5000

Other practice location 3

2478 Patterson Rd Ste 27
Grand Junction, CO 81505-3606
Phone (970) 644-4300

Other practice location 4

1060 Orchard Ave Unit O
Grand Junction, CO 81501-2997
Phone (970) 644-3755

Other practice location 5

2333 N 6th St
Grand Junction, CO 81501-2001
Phone (970) 298-1792

Other practice location 6

603 28 1/4 Rd
Grand Junction, CO 81506-6019
Phone (970) 263-2600

Other names 1

  • Rosa Brey Former name

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
I20190712001530 CO Practitioner - Physician Assistant 5799044798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005504COMDPhysician Assistant
PA1902NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Marillac Clinic, Inc. Dba Primehealth Physician Assistant CurrentSince Dec 1, 2018 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Feb 6, 2025 Accepting new patients
NPI 1710760343 CurrentSince Dec 1, 2018 Accepting new patients
Community Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2333 N 6th St
Grand Junction, CO 81501
Phone (970) 298-1782

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862

2643 Patterson Rd
Ste 603
Grand Junction, CO 81506
Phone (970) 241-9694

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Interoperability endpoints

  • Direct secure messaging: rgardner591499@direct.ochin.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1417468547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 IDLEWILD DR UNIT 428",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091075",
            "telephone_number": "406-599-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 ORCHARD AVE UNIT N",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012997",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 Patterson Rd Ste 603",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815061937",
            "country_code": "US",
            "telephone_number": "970-298-3801",
            "fax_number": "970-232-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 McCabe Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895115991",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2478 Patterson Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815053606",
            "country_code": "US",
            "telephone_number": "970-644-4300",
            "fax_number": "970-263-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Ave Unit O",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012997",
            "country_code": "US",
            "telephone_number": "970-644-3755",
            "fax_number": "970-644-3764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012001",
            "country_code": "US",
            "telephone_number": "970-298-1792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 28 1/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815066019",
            "country_code": "US",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ROSA",
        "middle_name": "LOUISE BREY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1902",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "BREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.