Individual provider Active NPI

Caleb Gene Van Essen, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
National Provider Identifier
1457715039
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
747 Broadway
Suite WW-739
Seattle, WA 98122-4307
Phone
(206) 386-2123
NPI assigned
Apr 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0066057 CO
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

747 Broadway
Suite WW-739
Seattle, WA 98122-4307

Mailing address

7117 S Windermere St
Littleton, CO 80120-4025
Phone (303) 903-0735

Other practice location 1

2440 N 11th St
Grand Junction, CO 81501-8102
Phone (970) 243-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210513000060 CO Practitioner - General Surgery 6608161229 Reassigns benefits to 4 organizations
I20230208000753 UT Practitioner - General Surgery 6608161229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Surgical Affiliates LLCGroup PAC ID 5496034068, 52 clinicians
Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

2440 N 11St St
Grand Junction, CO 81501-8102
Phone (970) 243-0900

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • Family Health West Hospital Hospital, Fruita, CO, CCN 061302
  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0066057COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moab Valley Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Feb 1, 2022 Accepting new patients
Colorado Surgical Affiliates, LLC Surgery CurrentSince Jun 26, 2021 Accepting new patients
Eastern Rio Blanco County Health Service District CurrentSince Feb 1, 2022 Accepting new patients
Grand River Hospital District Current Accepting new patients
Colorado Surgical Affiliates, LLC CurrentSince Jun 26, 2021 Accepting new patients
Grand River Hospital District Current Accepting new patients
Moab Valley Healthcare, Inc Family Medicine Current Accepting new patients
Grand River Hospital District CurrentSince Aug 25, 2021 Accepting new patients
Grand River Hospital District CurrentSince Aug 25, 2021 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Eastern Rio Blanco County Health Service District Current Accepting new patients
St. Mary'S Hospital and Medical Center, Inc. Past Accepting new patients

Locations

2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

201 Sipprelle Dr
Parachute, CO 81635
Phone (970) 285-5731

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

Interoperability endpoints

  • Direct secure messaging: calebvanessen@gswc.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1457715039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 S WINDERMERE ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204025",
            "telephone_number": "303-903-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "address_2": "SUITE WW-739",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224307",
            "telephone_number": "206-386-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 N 11th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815018102",
            "country_code": "US",
            "telephone_number": "970-243-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ESSEN",
        "first_name": "CALEB",
        "middle_name": "GENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "0066057",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.