Jennifer A Caragol, MD
Individual provider Active NPI Family Medicine Physician · Evans, CO
NPI 1003001256 · NPPES record last updated Sep 11, 2014
Key facts
- NPI
- 1003001256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44132 (CO)
- Practice address
- 2930 11TH Ave
Evans, CO 80620-1011 - Phone
- (970) 353-9403
- Fax
- (970) 353-9906
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Physicians Incorporated
Practice addresses (Care Compare)
12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000
Hospital & facility affiliations
- University of Colorado Hospital Authority
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091203000755 | CO | Practitioner - Family Practice |
2365538022 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44132 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current |
Accepting new patients | |
| University Physicians Incorporated | Family Medicine | Current |
Accepting new patients |
| University Physicians, Incorporated | Current |
Accepting new patients | |
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Current |
Accepting new patients | |
| Banner Medical Group Greeley LLC | Past | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients | |
| University of Colorado Hospital Authority | Past | Accepting new patients |
Locations
562 Sable Blvd
Aurora, CO 80011
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006
562 Sable Blvd
Ste 100
Aurora, CO 80011
Phone (720) 753-6000
30 S 20th Ave
Brighton, CO 80601
Phone (303) 655-1950
1860 E Egbert St
Brighton, CO 80601
Phone (303) 659-4000
6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900
Dept 1061
Denver, CO 80256
3055 Roslyn St
Unit 100
Denver, CO 80238
Phone (720) 553-2695
1950 Redtail Hawk Dr
Estes Park, CO 80517
Phone (970) 586-9105
1635 Blue Spruce Dr
Fort Collins, CO 80524
Phone (970) 494-4040
1115 2nd St
Fort Lupton, CO 80621
Phone (303) 857-2771
203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560
729 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 867-0300
5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250
1410 S 7th Ave
Sterling, CO 80751
Phone (970) 526-2589
911 Robinson Ave
Trinidad, CO 81082
Phone (303) 386-2727
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIJEAA/Endpoint/HIJEAA
- jennifer.caragol@sfhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44132 | CO | Yes |
Addresses
Primary practice location
2930 11TH Ave
Evans, CO 80620-1011
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 353-9403
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19535279 | Medicaid | CO |
Other providers in Evans, CO
- Haleigh Bower
- Amanda Bridge
- Meghan Broadley
- Amy Renee Brodeur
- Alexandria Buller-Parker
- Yaricza Emma Castaneda
- Laura Caton
- Paula E Clement
- Breeann Rael Coffman
- Community Advantage, Inc
All providers in Evans, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.