NPIMap

Individual provider Active NPI

Daniel John Wandsneider, D.O.

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1992191290
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0059379 Issued in CO
Practice address
13001 E 17TH PL
Aurora, CO 80045-2570
Phone
(303) 584-7913
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0059379 CO Primary

Addresses

Primary practice location

13001 E 17TH PL
Aurora, CO 80045-2570

Mailing address

13001 E 17TH PL
Aurora, CO 80045-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180109000921 CO Practitioner - Family Practice 4587961735 Reassigns benefits to 2 organizations
I20191104000878 WY Practitioner - Family Practice 4587961735 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Converse CountyGroup PAC ID 2264340843, shared by 5 NPIs, 77 clinicians
Rural Family PhysiciansGroup PAC ID 0042608804, 16 clinicians

Practice addresses (Care Compare)

111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122

11705 Airport Way
Suite 305
Broomfield, CO 80021-2711
Phone (815) 988-6351

2221 Elm St
Rawlins, WY 82301-5108
Phone (815) 988-6351

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Memorial Hospital CurrentSince May 26, 2022 Accepting new patients
Summit Hospitalist Group LLC CurrentSince Jun 10, 2022 Accepting new patients
The Memorial Hospital CurrentSince May 26, 2022 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Dec 18, 2023 Accepting new patients
Memorial Hospital of Converse County CurrentSince Sep 1, 2025 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Memorial Hospital of Carbon County CurrentSince Dec 18, 2023 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Rural Family Physicians CurrentSince Aug 1, 2021 Accepting new patients

Locations

11705 Airport Way
Ste 305
Broomfield, CO 80021

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • Direct secure messaging: dwandsneid@yourcarecommunity.org

Organizations & group practices 10

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 5

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1992191290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 E 17TH PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452570",
            "telephone_number": "303-584-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANDSNEIDER",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.