Individual provider Active NPI

Jeremy Gardner, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1073483889
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0105259-C-NP Issued in CO
Practice address
2695 Rocky Mountain Ave Ste 260
Loveland, CO 80538-9075
Phone
(720) 712-0306
NPI assigned
Nov 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0105259-C-NP CO Primary

Addresses

Primary practice location

2695 Rocky Mountain Ave Ste 260
Loveland, CO 80538-9075

Mailing address

2695 Rocky Mountain Ave Ste 260
Loveland, CO 80538-9075
Phone (720) 712-0306

Other practice location 1

9399 Crown Crest Blvd Ste 401
Parker, CO 80138-8540
Phone (720) 712-0306

Other practice location 2

500 Discovery Pkwy Ste 250
Superior, CO 80027-8762
Phone (720) 712-0306

Other practice location 3

6071 E Woodmen Rd Ste 200
Colorado Springs, CO 80923-2609
Phone (719) 212-2108

Other practice location 4

255 S Routt St Ste 250
Lakewood, CO 80228-2214
Phone (720) 712-0306

Other practice location 5

425 S Cherry St Fl 10
Denver, CO 80246-1226
Phone (720) 712-0306

Other practice location 6

2695 Rocky Mountain Ave Ste 350
Loveland, CO 80538-9077
Phone (720) 712-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251204004167 CO Practitioner - Nurse Practitioner 8527551746 Reassigns benefits to 1 organization
I20260522003459 DE Practitioner - Nurse Practitioner 8527551746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1151 Walker Rd
Suite 542
Dover, DE 19904-6600

24638 Dogwood LN
Millsboro, DE 19966-7627

2695 Rocky Mountain Ave
Suite 260
Loveland, CO 80538-8702

3300 N Triumph Blvd
Suite 500
Lehi, UT 84043-6475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0105259-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

6071 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 212-2108

425 S Cherry St
Fl 10
Glendale, CO 80246
Phone (720) 307-6670

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

2695 Rocky Mountain Ave
Ste 350
Loveland, CO 80538

2695 Rocky Mountain Ave
Ste 260
Loveland, CO 80538

9399 Crown Crest Blvd
Ste 401
Parker, CO 80138
Phone (720) 274-2544

500 Discovery Pkwy
Ste 250
Superior, CO 80027
Phone (720) 302-1505

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1073483889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 260",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389075",
            "telephone_number": "720-712-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 260",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389075",
            "telephone_number": "720-712-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9399 Crown Crest Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388540",
            "country_code": "US",
            "telephone_number": "720-712-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Discovery Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278762",
            "country_code": "US",
            "telephone_number": "720-712-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6071 E Woodmen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232609",
            "country_code": "US",
            "telephone_number": "719-212-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 S Routt St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282214",
            "country_code": "US",
            "telephone_number": "720-712-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 S Cherry St Fl 10",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461226",
            "country_code": "US",
            "telephone_number": "720-712-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2695 Rocky Mountain Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805389077",
            "country_code": "US",
            "telephone_number": "720-712-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JEREMY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0105259-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.