Active NPI
Rebeccah R. Gurule, AC-AGNP
- Gerontology Nurse Practitioner
- Monument, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN.0993824-NP
- Practice address
- 15909 Jackson Creek Pkwy
Monument, CO 80132-8693 - Phone
- (719) 522-1133
- Fax
- (719) 481-1620
- NPI assigned
- Apr 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APN.0993824-NP | CO | Primary |
Addresses
Primary practice location
15909 Jackson Creek Pkwy
Monument, CO 80132-8693
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000162857 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy of Colorado Springs LP
Practice addresses (Care Compare)
15909 Jackson Creek Pkwy
Monument, CO 80132-8693
Phone (719) 522-1133
5825 Delmonico Dr
Suite 100
Colorado Springs, CO 80919-2243
Phone (719) 257-4240
Hospital & facility affiliations
- Enhabit Home Health
- Centura Health-Penrose St Francis Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients |
Locations
1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900
2405 Research Pkwy
Colorado Springs, CO 80920
Phone (719) 268-2800
15909 Jackson Creek Pkwy
Monument, CO 80132
Phone (719) 481-0899
Interoperability endpoints
- rgurule120840@westdirect.optum.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 and National Provider Directory roles.
-
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1528190295
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1346481710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1811484256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15909 JACKSON CREEK PKWY",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801328693",
"telephone_number": "719-522-1133",
"fax_number": "719-481-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURULE",
"first_name": "REBECCAH",
"middle_name": "R.",
"credential": "AC-AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0993824-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000162857",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.