Individual provider Active NPI

Joshua Daniel Vanderwerf, M.D.

  • Neurology Physician
  • Colorado Springs, CO
National Provider Identifier
1659712602
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
04-46917 Issued in KS
Practice address
2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865
Phone
(719) 776-3580
Fax
(719) 776-3599
NPI assigned
Jul 7, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X 81983 SC
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD81983 SC
Neurology Physician 2084N0400X DR.0068243 CO
Neurology Physician 2084N0400X 04-46917 KS Primary

Addresses

Primary practice location

2222 N Nevada Ave Ste 5001
Colorado Springs, CO 80907-6865

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8617

Other practice location 1

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2222

Other practice location 2

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-4500

Other practice location 3

10 Duke Medicine Cir
Durham, NC 27710-2137
Phone (919) 684-8111

Other practice location 4

109 Physicians Dr Ste C
Greer, SC 29650-2446
Phone (864) 797-8800

Other practice location 5

2222 N Nevada Ave Ste 5010
Colorado Springs, CO 80907-6865
Phone (719) 776-3580

Other identifiers 1

IdentifierTypeStateIssuer
819831MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvanderwerf262634@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 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
I20220428001506 CO Practitioner - Neurology 6507193182 Reassigns benefits to 1 organization
I20221029000221 KS Practitioner - Neurology 6507193182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

1000 Lincoln St
Fort Morgan, CO 80701-3290

1000 Lincoln St 207 Neuro
Centura Neurology Ft Morgan
Fort Morgan, CO 80701-3290
Phone (970) 867-6430

1010 Three Springs Blvd
Durango, CO 81301-8296

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 776-8040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-46917KSMDNeurology Physician
MD81983SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Multi-Specialty CurrentSince May 1, 2022 Accepting new patients
Commonspirit Kansas, Inc. Multi-Specialty CurrentSince Oct 17, 2022 Accepting new patients
Commonspirit Kansas, Inc. Multi-Specialty Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2022 Accepting new patients
St Catherine Hospital Multi-Specialty CurrentSince Oct 17, 2022 Accepting new patients
Catholic Health Initiatives Colorado Multi-Specialty Current Accepting new patients
Catholic Health Initiatives Colorado Multi-Specialty Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

2222 N Nevada Ave
Ste 5010
Colorado Springs, CO 80907
Phone (719) 776-3580

2222 N Nevada Ave
Ste 5001
Colorado Springs, CO 80907
Phone (719) 776-3580

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

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Interoperability endpoints

  • Direct secure messaging: jvanderwerf262634@direct.ghs.myhfn.org

Organizations & group practices 7

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 6

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": "1373155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1659712602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE STE 5001",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076865",
            "telephone_number": "719-776-3580",
            "fax_number": "719-776-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "620-272-2222",
            "fax_number": "620-272-2755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29605",
            "country_code": "US",
            "telephone_number": "864-454-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Duke Medicine Cir",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277102137",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Physicians Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296502446",
            "country_code": "US",
            "telephone_number": "864-797-8800",
            "fax_number": "864-797-8805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 N Nevada Ave Ste 5010",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809076865",
            "country_code": "US",
            "telephone_number": "719-776-3580",
            "fax_number": "719-776-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERWERF",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-07",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "SC",
            "license": "81983",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "MD81983",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0068243",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-46917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819831",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvanderwerf262634@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jvanderwerf262634@direct.ghs.myhfn.org",
            "address_1": "109 Physicians Dr Ste C",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296502446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.