NPIMap

Individual provider Active NPI

Richard E White, PA-C

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1528210655
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0004619 Issued in CO
Practice address
75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone
(719) 300-8433
Fax
(719) 300-7796
NPI assigned
Oct 21, 2008
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 0004619 CO Primary

Addresses

Primary practice location

75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142

Mailing address

75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (719) 300-8433

Other practice location 1

300 E Hampden Ave Ste 201
Englewood, CO 80113-2647
Phone (303) 993-5651

Other practice location 2

1120 Minnequa Ave
Pueblo, CO 81004-3734
Phone (719) 281-3285

Other identifiers 1

IdentifierTypeStateIssuer
51175061MedicaidCO

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
I20161021001692 CO Practitioner - Physician Assistant 3577841766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 E Hampden Ave
Suite 201
Englewood, CO 80113-2647

300 E Hampden Ave
Suite 201
Englewood, CO 80113-2762

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Primary Care CurrentSince Oct 12, 2021 Accepting new patients
Summit Primary Care CurrentSince Oct 12, 2021 Accepting new patients
Peak Vista Community Health Centers CurrentSince Sep 20, 2016 Accepting new patients
Summit Primary Care CurrentSince Oct 12, 2021 Accepting new patients
Peak Vista Community Health Centers CurrentSince Sep 20, 2016 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

75 Printers Pkwy
Ste 200
Colorado Springs, CO 80910
Phone (719) 300-1122

300 E Hampden Ave
Ste 201
Englewood, CO 80113
Phone (303) 991-7700

1120 Minnequa Ave
Pueblo, CO 81004
Phone (719) 281-3285

Interoperability endpoints

  • Direct secure messaging: summitprimarycare.richardwhite@157142.advancedmd-direct.com

Organizations & group practices 5

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 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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1528210655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103142",
            "telephone_number": "719-300-8433",
            "fax_number": "719-284-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103142",
            "telephone_number": "719-300-8433",
            "fax_number": "719-300-7796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Hampden Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132647",
            "country_code": "US",
            "telephone_number": "303-993-5651",
            "fax_number": "303-552-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Minnequa Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043734",
            "country_code": "US",
            "telephone_number": "719-281-3285",
            "fax_number": "719-281-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51175061",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.