Individual provider Active NPI

Lars Vanetten, MD

  • Anesthesiology Physician
  • Colorado Springs, CO
National Provider Identifier
1588856116
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
CDRH.0046518 Issued in CO
Practice address
1400 E Boulder St Ste 1183
Colorado Springs, CO 80909-5533
Phone
(719) 365-6999
Fax
(719) 365-2837
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X CDRH.0046518 CO Primary
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X 46518 CO

Addresses

Primary practice location

1400 E Boulder St Ste 1183
Colorado Springs, CO 80909-5533

Mailing address

9 Judys Dream LN
Pueblo, CO 81005-8703
Phone (719) 242-5811

Other practice location 1

9 Judys Dream Ln
Pueblo, CO 81005-8703
Phone (719) 242-5811

Other practice location 2

109 S Burlington Dr
Pueblo West, CO 81007-5560
Phone (719) 766-9000

Other practice location 3

25 Montebello Rd
Pueblo, CO 81001-1236
Phone (719) 544-1600

Other names 1

  • Dr. Lars Van Etten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081015000588 CO Practitioner - Anesthesiology 8729146089 Reassigns benefits to 2 organizations
I20230413000386 IL Practitioner - Anesthesiology 8729146089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
1183 Anesthesiology MHC
Colorado Springs, CO 80909-5533
Phone (719) 365-6999

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDRH.0046518COMDAnesthesiology Physician
46518COMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, S.C. Single Specialty CurrentSince Feb 27, 2023 Accepting new patients
US Anesthesia Partners of Colorado Inc. Single Specialty CurrentSince Apr 1, 2019 Accepting new patients
University Anesthesia Providers, LLC Single Specialty CurrentSince May 16, 2023 Accepting new patients
Associated Anesthesiologists, SC Single Specialty CurrentSince Feb 27, 2023 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group Single Specialty Current Accepting new patients
Sheridan Healthcare of Colorado PC Single Specialty Past Accepting new patients

Locations

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

7 Parkway Ctr
Ste 375
Pittsburgh, PA 15220
Phone (412) 937-5945

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1588856116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 JUDYS DREAM LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810058703",
            "telephone_number": "719-242-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 1183",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-6999",
            "fax_number": "719-365-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Judys Dream Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810058703",
            "country_code": "US",
            "telephone_number": "719-242-5811",
            "fax_number": "719-212-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 S Burlington Dr",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810075560",
            "country_code": "US",
            "telephone_number": "719-766-9000",
            "fax_number": "719-766-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Montebello Rd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810011236",
            "country_code": "US",
            "telephone_number": "719-544-1600",
            "fax_number": "886-989-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANETTEN",
        "first_name": "LARS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "CDRH.0046518",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "46518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARS",
            "last_name": "VAN ETTEN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.