Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

21st Medgrp-Peterson

Military/U.S. Coast Guard Outpatient Clinic/Center in Peterson Afb, CO · enumerated 2005 · authorized official Jen Lewandowski, Dha Ubo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942286224

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Registry record

Entity type Organization (Type 2)

Legal business name 21st Medgrp-Peterson

Other name <Unavail>

Parent organization 21st Medgrp-Peterson

Practice address 559 Vincent St, Peterson Afb, CO, 80914

Phone (719) 556-1250

Enumeration date Dec 19, 2005

Last updated in NPPES Jun 17, 2025

Taxonomy & classification

261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center Ambulatory Health Care Facilities Primary

261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center Ambulatory Health Care Facilities Secondary

332000000X Military/U.S. Coast Guard Pharmacy Suppliers Secondary

Authorized official

Name Jen Lewandowski

Title Dha Ubo

Phone (703) 817-4030

Other identifiers

Identifier	Type	State	Issuer
1548369259	Other	CO	NPPES
06-16788	Other	CO	NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 21st Medgrp-Peterson located?

The practice location on file with NPPES is in Peterson Afb, CO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-17. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Keith Baker Family Medicine Physician · Peterson Afb, CO NPI 1891797080 Melissa Simmons Optometrist · Colorado Springs, CO NPI 1962494658 Francesca Vasta-Falldorf Dentist · Peterson Afb, CO NPI 1346233814 Joseph Chozinski Psychiatry Physician · Peterson Afb, CO NPI 1124011655 Monica Tillman Family Medicine Physician · Colorado Springs, CO NPI 1164416426 Madeline Howell Women's Health Nurse Practitioner · Peterson Afb, CO NPI 1932190998 Jay Taylor Prosthodontics · Peterson Afb, CO NPI 1205810801 Samantha Fil Acute Care Nurse Practitioner · Peterson Space Force Base, CO NPI 1457336406

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-17.