Individual provider Active NPI

Sandra D Ewer, FNP

  • Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1578826863
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0996125-NP Issued in CO
Practice address
1420 Austin Bluffs Pkwy
Colorado Springs, CO 80918-3733
Phone
(719) 255-4444
Fax
(719) 255-4446
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP121045 ME
Obstetrics & Gynecology Nurse Practitioner 363LX0001X CNP121045 ME
Nurse Practitioner 363L00000X APN.0996125-NP CO Primary

Addresses

Primary practice location

1420 Austin Bluffs Pkwy
Colorado Springs, CO 80918-3733

Mailing address

1420 Austin Bluffs Pkwy
Colorado Springs, CO 80918-3735
Phone (719) 255-4444

Other practice location 1

1012 Union St
Bangor, ME 04401-3060
Phone (207) 404-8100

Other practice location 2

6705 Rangewood Dr
Colorado Springs, CO 80918-7300
Phone (719) 599-7331

Other practice location 3

6031 E Woodmen Rd Ste 250Go
Colorado Springs, CO 80923-2623
Phone (719) 571-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120827000020 ME Practitioner - Nurse Practitioner 0345497392
I20200622002635 CO Practitioner - Nurse Practitioner 0345497392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

6071 E Woodmen Rd
405 Whaw WH Academy
Colorado Springs, CO 80923-2614
Phone (719) 571-4500

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996125-NPCOMDNurse Practitioner
CNP121045MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 1, 2012 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 1, 2012 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 6, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 6, 2021 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 405
Colorado Springs, CO 80923
Phone (719) 442-0808

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

489 State St
Bangor, ME 04401
Phone (207) 973-8837

Organizations & group practices 6

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1578826863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183735",
            "telephone_number": "719-255-4444",
            "fax_number": "719-255-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183733",
            "telephone_number": "719-255-4444",
            "fax_number": "719-255-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Union St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013060",
            "country_code": "US",
            "telephone_number": "207-404-8100",
            "fax_number": "207-947-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6705 Rangewood Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809187300",
            "country_code": "US",
            "telephone_number": "719-599-7331",
            "fax_number": "719-390-1333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 E Woodmen Rd Ste 250Go",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232623",
            "country_code": "US",
            "telephone_number": "719-571-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWER",
        "first_name": "SANDRA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121045",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ME",
            "license": "CNP121045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0996125-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.