NPIMap

Individual provider Active NPI

Andrea Ann Bucci Gregerson, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1730678392
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0068051 Issued in CO
Practice address
6011 E Woodmen Rd Ste 125
Colorado Springs, CO 80923-2603
Phone
(719) 571-8030
Fax
(719) 571-8031
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7481 HI
Family Medicine Physician 207Q00000X DR.0068051 CO Primary

Addresses

Primary practice location

6011 E Woodmen Rd Ste 125
Colorado Springs, CO 80923-2603

Mailing address

6011 E Woodmen Rd Ste 125
Colorado Springs, CO 80923-2603
Phone (719) 571-8030

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
I20220218002371 CO Practitioner - Family Practice 5799179669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
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)

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

7435 Sisters GRV
Suite 400
Colorado Springs, CO 80923-2631
Phone (719) 571-8030

Hospital & facility affiliations

  • Home Health Colorado Springs Home health agency, Colorado Springs, CO, CCN 067112
  • Centerwell Home Health Home health agency, Colorado Springs, CO, CCN 067129
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0068051COMDFamily Medicine Physician
7481HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 26, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 26, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6011 E Woodmen Rd
Ste 125
Colorado Springs, CO 80923
Phone (719) 571-8030

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

Organizations & group practices 4

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 5

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1730678392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-571-8030",
            "fax_number": "719-571-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 E WOODMEN RD STE 125",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232603",
            "telephone_number": "719-571-8030",
            "fax_number": "719-571-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGERSON",
        "first_name": "ANDREA",
        "middle_name": "ANN BUCCI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "7481",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0068051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.