Jacob John Wingerter

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR0053948 Issued in CO

Practice address

400 S McCaslin Blvd Ste 103
Superior, CO 80027-9701

Phone

(303) 666-7337

NPI assigned

Apr 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MP

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment NPD
• Commonwealth Healthcare Corporation

  dba Rota Health Center

  • Rural Health Clinic/Center
  • Rota, MP
  • NPI 1679097315
  NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1043501976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-666-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 103",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "303-666-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGERTER",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR0053948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Whalen
• Ariana Whetsell
• Brianna Whittemore, M.D.
• Wild Physical Therapy and Performance
• Jennika Wildau, L.AC., DIPL. AC.
• Kevin Xie, PA-C
• Kylie Yang, PT, DPT
• Helen Bok Yeon, MD
• Margaret Yurkunas, LPC
• Mary Beth Zoglo, PH.D.

• Pediatrics Physician in Superior, CO
• Providers in Superior, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.

Verify at the official NPI Registry.