Active NPI
Regan Fackler, FNP
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1992426712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0997923-NP
- Practice address
- 1615 Silversmith Rd
Colorado Springs, CO 80921-7225 - Phone
- (719) 633-5255
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0997923-NP | CO | Primary |
Addresses
Primary practice location
1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Mailing address
769 Saber Creek Dr
Monument, CO 80132-6059
Phone (719) 684-3584
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250423002102 | CO | Order and Referring Only - Nurse Practitioner | 7012432982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0997923-NP | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1992426712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 SABER CREEK DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801326059",
"telephone_number": "719-684-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 SILVERSMITH RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809217225",
"telephone_number": "719-633-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACKLER",
"first_name": "REGAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2023-04-13",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0997923-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
- Facial Associates of Colorado for Emergency Services, PLLC
- Facial Plastic Surgery Center of Colorado Springs, PC
- Facial Plastic Surgery Center of Colorado Springs, PC
- Facial Plastic Surgery Center of Colorado Springs, PC
- Angelina Fackelman
- Kara Facundo, LPC
- Rebecca A Facy, M.D.,D.D.S.
- Sophia Fadler-Nelson
- Chiara Faedo, PT
- Alyssa Reiter Faeth, DPT, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.