Individual provider Active NPI

Sandra Ellen Ziegler, NP

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1548869902
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0995913 Issued in CO
Practice address
8540 Scarborough Dr
Colorado Springs, CO 80920-7502
Phone
(719) 358-8299
NPI assigned
Oct 18, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0995913 CO Primary

Addresses

Primary practice location

8540 Scarborough Dr
Colorado Springs, CO 80920-7502

Mailing address

8540 Scarborough Dr
Ste 370
Colorado Springs, CO 80920-7519
Phone (719) 358-8299

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
I20201201001504 CO Practitioner - Nurse Practitioner 3375954019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gorman Medical LLCGroup PAC ID 1557583135, 10 clinicians

Practice addresses (Care Compare)

8540 Scarborough Dr
Suite 370
Colorado Springs, CO 80920-7519
Phone (719) 358-8270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0995913COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman Medical LLC Adult Health CurrentSince Oct 1, 2020 Accepting new patients

Locations

8540 Scarborough Dr
Colorado Springs, CO 80920
Phone (719) 358-8270

8540 Scarborough Dr
Ste 270
Colorado Springs, CO 80920

8540 Scarborough Dr
Ste 370
Colorado Springs, CO 80920
Phone (719) 358-8270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1548869902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR",
            "address_2": "STE 370",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207519",
            "telephone_number": "719-358-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 SCARBOROUGH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207502",
            "telephone_number": "719-358-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "SANDRA",
        "middle_name": "ELLEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0995913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.