Active NPI
Luke Jensen
- Certified Registered Nurse Anesthetist
- Loveland, CO
National Provider Identifier
1063369122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 158350
- Practice address
- 2500 Rocky Mountain Ave
Loveland, CO 80538-9004 - Phone
- (915) 202-4402
- NPI assigned
- Mar 16, 2026
- Last updated
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 158350 | NE | Primary |
Addresses
Primary practice location
2500 Rocky Mountain Ave
Loveland, CO 80538-9004
Mailing address
16359 Weir St
Omaha, NE 68135-1217
Phone (915) 202-4402
Other names 1
- Luke Hetebrink
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13500 Powers CT
Fort Myers, FL 33912-4503
PO Box
Suite 913460
Denver, CO 80291
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158350 | NE | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1063369122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16359 WEIR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351217",
"telephone_number": "915-202-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ROCKY MOUNTAIN AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805389004",
"telephone_number": "915-202-4402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "158350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUKE",
"last_name": "HETEBRINK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.