Individual provider Active NPI

John H. Bissell, M.D.

  • Pain Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1902821531
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
27753 Issued in CO
Practice address
3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053
Phone
(719) 635-3764
Fax
(719) 635-7593
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 27753 CO Primary

Addresses

Primary practice location

3910 S Carefree Cir Ste F
Colorado Springs, CO 80917-3053

Mailing address

1605 N Union Blvd
Colorado Springs, CO 80909-2828
Phone (719) 635-3764

Other practice location 1

1605 N Union Blvd
Colorado Springs, CO 80909-2828
Phone (719) 635-3764

Other practice location 2

1720 Jet Stream Dr Ste 200
Colorado Springs, CO 80921-3938
Phone (719) 635-3764

Other identifiers 1

IdentifierTypeStateIssuer
01277532MedicaidCO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000132 CO Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 1557445632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
17.04 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27753COMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Medicine and Rehabilitation Professional LLC Pain Medicine CurrentSince Aug 1, 2001 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC CurrentSince Aug 1, 2001 Accepting new patients
Apex Physical Medicine and Rehabilitation Professional LLC Pain Medicine Past Accepting new patients

Locations

1605 N Union Blvd
Colorado Springs, CO 80909
Phone (719) 447-0818

1720 Jet Stream Dr
Ste 200
Colorado Springs, CO 80921
Phone (719) 635-3764

3910 S Carefree Cir
Ste F
Colorado Springs, CO 80917
Phone (719) 463-7725

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1902821531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092828",
            "telephone_number": "719-635-3764",
            "fax_number": "719-635-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S CAREFREE CIR STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173053",
            "telephone_number": "719-635-3764",
            "fax_number": "719-635-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 N Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809092828",
            "country_code": "US",
            "telephone_number": "719-635-3764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Jet Stream Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809213938",
            "country_code": "US",
            "telephone_number": "719-635-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "JOHN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "27753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.