NPIMap

Individual provider Active NPI

Andrew W Gisleson, D.O.

  • Family Medicine Physician
  • Carbondale, CO
National Provider Identifier
1679913560
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55479 Issued in CO
Practice address
978 Euclid Ave
Carbondale, CO 81623-1820
Phone
(970) 963-3350
Fax
(970) 963-2958
NPI assigned
Jun 25, 2013
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55479 CO Primary

Addresses

Primary practice location

978 Euclid Ave
Carbondale, CO 81623-1820

Mailing address

978 Euclid Ave
Carbondale, CO 81623-1820
Phone (970) 963-3350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810001288 CO Practitioner - Family Practice 7012141708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1200 Village Rd
Carbondale, CO 81623-1564
Phone (970) 384-6707

1250 Village Rd
Carbondale, CO 81623-1564
Phone (970) 384-6707

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533

2001 N Horseshoe TRL
Silt, CO 81652-9832
Phone (970) 945-6533

350 Market St
Unit 201
Basalt, CO 81621-7403
Phone (970) 945-6533

978 Euclid Ave
Carbondale, CO 81623-1820
Phone (970) 963-3350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55479COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Jul 25, 2016 Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: andy.gisleson.1@9028.direct.athenahealth.com

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

Hospital & facility affiliations 7

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1679913560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 EUCLID AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231820",
            "telephone_number": "970-963-3350",
            "fax_number": "970-963-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 EUCLID AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231820",
            "telephone_number": "970-963-3350",
            "fax_number": "970-963-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISLESON",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "55479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, CO

Sources for this page

Verify at the official NPI Registry.