Individual provider Active NPI

Jennifer Livingston

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1033625314
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993609-NP Issued in CO
Practice address
3676 Parker Blvd
Pueblo, CO 81008-2212
Phone
(719) 553-2200
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993609-NP CO Primary

Addresses

Primary practice location

3676 Parker Blvd
Pueblo, CO 81008-2212

Mailing address

4140 Andrew Drive
PO Box 20012
Colorado City, CO 81019-2012
Phone (719) 250-4377

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117000492 CO Practitioner - Nurse Practitioner 1951660190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0993609-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs of Colorado, Inc Current Accepting new patients
Usacs of Colorado Inc CurrentSince Jul 21, 2024 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Jul 1, 2024 Accepting new patients
Usacs of Colorado Inc CurrentSince Jul 21, 2024 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

1950 Mountain View Ave
#4
Longmont, CO 80501

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

4112 Outlook Blvd
Ste 250
Pueblo, CO 81008
Phone (719) 553-1066

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1033625314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 ANDREW DRIVE",
            "address_2": "PO BOX 20012",
            "city": "COLORADO CITY",
            "state": "CO",
            "postal_code": "810192012",
            "telephone_number": "719-250-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082212",
            "telephone_number": "719-553-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993609-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.