Individual provider Active NPI

Gayleen Rachele Prausa, PA-C

  • Medical Physician Assistant
  • Monument, CO
National Provider Identifier
1528286192
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
550 W Highway 105
Monument, CO 80132-9122
Phone
(719) 488-9860
Fax
(719) 488-9868
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

550 W Highway 105
Monument, CO 80132-9122

Mailing address

550 W Highway 105
Monument, CO 80132-9122
Phone (719) 488-9860

Other names 1

  • Mrs. Gayleen Rachele Bedwell 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
I20120802000517 CO Practitioner - Physician Assistant 1658527932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assoc in Gastroenterology, PCGroup PAC ID 7416925052, 26 clinicians

Practice addresses (Care Compare)

2940 N Circle Dr
Colorado Springs, CO 80909-1160
Phone (719) 635-7321

6031 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2624
Phone (719) 635-7321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
93.43
Promoting interoperability
100
Improvement activities
40
Cost
74.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Assoc in Gastroenterology, PC Past Accepting new patients
Mountain View Medical Group, PC Medical Past Accepting new patients
Mountain View Medical Group, LLC Past Accepting new patients

Organizations & group practices 3

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 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1528286192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W HIGHWAY 105",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329122",
            "telephone_number": "719-488-9860",
            "fax_number": "719-488-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W HIGHWAY 105",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329122",
            "telephone_number": "719-488-9860",
            "fax_number": "719-488-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAUSA",
        "first_name": "GAYLEEN",
        "middle_name": "RACHELE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLEEN",
            "last_name": "BEDWELL",
            "middle_name": "RACHELE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.