NPIMap

Individual provider Active NPI

Kara Rae Bresson

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1467064097
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6071 E Woodmen Rd Ste 300
Colorado Springs, CO 80923-2613
Phone
(605) 929-1522
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6071 E Woodmen Rd Ste 300
Colorado Springs, CO 80923-2613

Mailing address

6071 E Woodmen Rd
Colorado Springs, CO 80923-2607
Phone (719) 531-7007

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
I20210525003347 CO Practitioner - Physician Assistant 6901212612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Urological Associates LLCGroup PAC ID 6709155393, 20 clinicians

Practice addresses (Care Compare)

6071 E Woodmen Rd
Suite 300
Colorado Springs, CO 80923-2613
Phone (719) 531-7007

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Urological Associates LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

Organizations & group practices 1

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1467064097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232607",
            "telephone_number": "719-531-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232613",
            "telephone_number": "605-929-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESSON",
        "first_name": "KARA",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.