Organization Active NPI

Rockhold Wellness LLC

  • Gerontology Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1932996733
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
ROCKHOLD WELLNESS LLC
Practice address
1819 N Circle Dr Ste 6
Colorado Springs, CO 80909-2444
Phone
(719) 318-8662
Fax
(719) 259-0906
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Ryan Rockhold
Title
Ceo
Phone
(719) 318-8662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

1819 N Circle Dr Ste 6
Colorado Springs, CO 80909-2444

Mailing address

16455 Great Smokey Ave
Elbert, CO 80106-9078
Phone (719) 318-8662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819002195 CO Part B Supplier - Clinic/Group Practice 3274032917 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1819 N Circle Dr
Ste 15
Colorado Springs, CO 80909

1819 N Circle Dr
Ste 6
Colorado Springs, CO 80909
Phone (719) 318-8662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1932996733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 GREAT SMOKEY AVE",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801069078",
            "telephone_number": "719-318-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N CIRCLE DR STE 6",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092444",
            "telephone_number": "719-318-8662",
            "fax_number": "719-259-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKHOLD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "ROCKHOLD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-318-8662"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.