NPIMap

Organization Active NPI

Pikes Peak Hospice and Palliative Care, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1497523104
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC
Practice address
2550 Tenderfoot Hill St
Colorado Springs, CO 80906-3998
Phone
(719) 633-3400
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PIKES PEAK HOSPICE AND PALLIATIVE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Tim J Bowen
Title
Ceo
Phone
(303) 398-6203

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X NU

Addresses

Primary practice location

2550 Tenderfoot Hill St
Colorado Springs, CO 80906-3998

Mailing address

8289 E Lowry Blvd
Denver, CO 80230-7256
Phone (303) 398-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000861 CO Part B Supplier - Clinic/Group Practice 7618866138 Receives reassigned benefits from 31 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pikes Peak Hospice Palliat6 organizations share this tax ID, including this one
Part of
Pikes Peak Hospice Palliat

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1497523104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8289 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307256",
            "telephone_number": "303-398-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 TENDERFOOT HILL ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063998",
            "telephone_number": "719-633-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-398-6203"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.