Individual provider Active NPI

Gail Elizabeth Mizner, MD

  • Internal Medicine Physician
  • Glenwood Springs, CO
National Provider Identifier
1962436535
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29081 Issued in CO
Practice address
1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone
(970) 945-2840
Fax
(970) 945-2893
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29081 CO Primary

Addresses

Primary practice location

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206

Mailing address

1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288
Phone (970) 945-2840

Other identifiers 1

IdentifierTypeStateIssuer
01290816MedicaidCO

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
I20101228000502 CO Practitioner - Internal Medicine 5395718225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Family Health CentersGroup PAC ID 3173413101, 20 clinicians

Practice addresses (Care Compare)

123 Emma Rd
Suite 106
Basalt, CO 81621-9169
Phone (970) 945-2840

1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4206
Phone (970) 945-2840

195 W
Rifle, CO 81650-4716
Phone (970) 945-2840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29081COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers CurrentSince Sep 13, 2010 Accepting new patients
Aspen Valley Hospital District CurrentSince Feb 15, 2015 Accepting new patients
Mountain Family Health Centers CurrentSince Sep 13, 2010 Accepting new patients
Aspen Valley Hospital District CurrentSince Feb 15, 2015 Accepting new patients
Mountain Family Health Centers PastSince Feb 7, 2021 Accepting new patients
Northland Cares PastSince Oct 24, 2018 Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

123 Emma Rd
Ste 106
Basalt, CO 81621

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

195 W 14th St
Ste C
Rifle, CO 81650

Interoperability endpoints

  • Direct secure messaging: gail.mizner.p1@direct.mfhc.nextgenshare.com

Organizations & group practices 6

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1962436535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE",
            "address_2": "SUITE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014288",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 BLAKE AVE STE 101",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014206",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZNER",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "29081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01290816",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.