JOHN NUNN – Family Medicine Physician, NPI 1689139057

JOHN NUNN is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA59140 (CA). The NPI Number for JOHN NUNN is 1689139057

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOHN NUNN
NPI
1689139057
Phone
(619) 847-7741
Address
2485 FALKIRK DR
Enumeration Date
9 February 2019
Last Update Date
6 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098783696
Graduation Year
2020 (6 years ago)
PAC ID
1759722994
Group Practice PAC ID
8729460233
Professional Enrollment ID
I20240517003533
Address ID
CA923150000BI41949BLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for JOHN NUNN

  • 2485, Falkirk Drive, Community at Spring Creek, Colorado Springs, El Paso County, Colorado, 80910, United States

    COLORADO SPRINGS, CO 809108101

    Phone: (619) 847-7741

    Type: Mailing

  • 1650 COCHRANE CIR

    FORT CARSON, CO 809134613

    Phone: (619) 847-7741

    Type: Location

  • PO BOX 1649

    BIG BEAR LAKE, CA 923151649

    Phone: (619) 847-7741

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240517003533IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729460233View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN NUNN?
JOHN NUNN — NPI 1689139057 — is the standard way to identify this listing.
Is JOHN NUNN listed as active for patients and plans?
The listing shows JOHN NUNN as active in the NPI system.
What is JOHN NUNN best known for clinically?
Directory data describes JOHN NUNN with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN NUNN?
JOHN NUNN's geographic hint is Colorado Springs, Colorado in our summary view.
Why does JOHN NUNN have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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