NPIMap

Individual provider Active NPI

Anne Giesen, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Boulder, CO
National Provider Identifier
1851408926
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
40821 Issued in CO
Practice address
350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone
(303) 938-1110
Fax
(303) 938-1145
NPI assigned
Aug 24, 2006
Last updated
Apr 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 40821 CO Primary

Addresses

Primary practice location

350 Ponca PL
Suite 250
Boulder, CO 80303-3828

Mailing address

350 Ponca PL
Suite 250
Boulder, CO 80303-3828
Phone (303) 938-1110

Other identifiers 1

IdentifierTypeStateIssuer
22909532MedicaidCO

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
I20040227000008 CO Practitioner - Geriatric MedicinePractitioner - Family Practice 1557267564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of New England, College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wisdom Health PCGroup PAC ID 4284762501, 11 clinicians

Practice addresses (Care Compare)

2919 Valmont Rd
Suite 204
Boulder, CO 80301-1350
Phone 3039381110512

350 Ponca PL
Boulder, CO 80303-3828
Phone (303) 938-1110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40821COMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Health PC Geriatric Medicine CurrentSince Mar 1, 2010 Accepting new patients

Locations

2919 Valmont Rd
Ste 204
Boulder, CO 80301
Phone (303) 938-1110

4685 Baseline Rd
Boulder, CO 80303
Phone (303) 439-2259

282 McCaslin Blvd
Louisville, CO 80027
Phone (303) 444-1655

Interoperability endpoints

  • Direct secure messaging: anne.giesen@96713091579908.direct.elationemr.com

Organizations & group practices 1

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 52

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1851408926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PONCA PL",
            "address_2": "SUITE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033828",
            "telephone_number": "303-938-1110",
            "fax_number": "303-938-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PONCA PL",
            "address_2": "SUITE 250",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033828",
            "telephone_number": "303-938-1110",
            "fax_number": "303-938-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESEN",
        "first_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "40821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22909532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.